Individual
LARAJANAE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10305 RUNNYMEDE AVE, GARFIELD HEIGHTS, OH 44125-2216
(216) 526-9822
Mailing address
10305 RUNNYMEDE AVE, GARFIELD HEIGHTS, OH 44125-2216
(216) 526-9822
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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