Individual
MRS. CELESTE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
210 BRIGHTON RD, COLUMBUS, OH 43202-1024
(614) 290-8386
Mailing address
210 BRIGHTON RD, COLUMBUS, OH 43202-1024
(614) 290-8386
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.158014-M-IV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108152143599
—
OH
Enumeration date
02/06/2015
Last updated
02/06/2015
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