Individual
BOBBIE JO JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN, MLT
Contact information
Practice address
3645 BROOKLINE AVE, COLUMBUS, OH 43223-3406
(614) 353-9700
(614) 445-7047
Mailing address
3645 BROOKLINE AVE, COLUMBUS, OH 43223-3406
(614) 353-9700
(614) 445-7047
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
138459
OH
246RM2200X
Medical Laboratory Technician
52455
OH
Other
Enumeration date
02/27/2010
Last updated
02/27/2010
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