Individual
DONNA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13300 OLD STATE RD, HUNTSBURG, OH 44046-8715
(440) 477-0851
Mailing address
13300 OLD STATE RD, HUNTSBURG, OH 44046-8715
(440) 477-0851
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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