Individual
MYCOL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2616 ESSEX PL, CINCINNATI, OH 45206-1921
(513) 720-4956
Mailing address
2616 ESSEX PL, CINCINNATI, OH 45206-1921
(513) 720-4956
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
OH
Other
Enumeration date
12/18/2020
Last updated
12/18/2020
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