Individual
KRISTAL N SIMMONS JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHS MA
Contact information
Practice address
3094 W MARKET ST STE 105, FAIRLAWN, OH 44333
(440) 260-8300
Mailing address
434 EASTLAND RD, BEREA, OH 44017-1217
(440) 260-8300
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/15/2018
Last updated
07/18/2018
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