Individual
FRIDAY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1820 COLDICOTT HILL RD, LUCASVILLE, OH 45648-9596
(740) 970-0466
Mailing address
1820 COLDICOTT HILL RD, LUCASVILLE, OH 45648-9596
(740) 970-0466
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
147674
OH
Other
Enumeration date
01/21/2015
Last updated
01/21/2015
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