Individual
JOHNNA DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
298 TRICORN RD, DANVILLE, WV 25053-7148
(304) 369-1385
(304) 369-9684
Mailing address
298 TRICORN RD, DANVILLE, WV 25053-7148
(304) 369-1385
(304) 369-9684
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21160
LPN LICENSE
WV
Enumeration date
09/14/2022
Last updated
09/14/2022
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