Individual
EVELYN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5209 EUCLID AVE, CLEVELAND, OH 44103-3703
(216) 881-0765
(216) 431-2190
Mailing address
14704 TOKAY AVE, MAPLE HEIGHTS, OH 44137-3849
(216) 673-4723
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
176102
OH
Other
Enumeration date
10/16/2020
Last updated
10/16/2020
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