Individual
NYDRA C JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2755 TRIANGLE VIEW DR, DAYTON, OH 45414-5554
(937) 304-3582
Mailing address
2755 TRIANGLE VIEW DR, DAYTON, OH 45414-5554
(937) 304-3582
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
OH
374U00000X
Home Health Aide
—
OH
Other
Enumeration date
05/09/2026
Last updated
05/09/2026
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