Individual
MR. PHOENIX SANTIAGO JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
40 E GLENWOOD AVE, AKRON, OH 44304-1136
(330) 996-2222
Mailing address
40 E GLENWOOD AVE, AKRON, OH 44304-1136
(330) 996-2222
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
APS.005192
OH
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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