Individual
CHARLES LEE JOHNSON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2010 PARKHILL DR, DAYTON, OH 45406-2716
(937) 559-2669
(937) 723-7435
Mailing address
2010 PARKHILL DR, DAYTON, OH 45406-2716
(937) 559-2669
(937) 723-7435
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
OH
Other
Enumeration date
05/03/2019
Last updated
05/03/2019
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