Individual
JALIZA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2335 MILTON ST SE, WARREN, OH 44484-5248
(330) 219-7219
Mailing address
2335 MILTON ST SE, WARREN, OH 44484-5248
(330) 219-7219
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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