Individual
TASIA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9212 VINEYARD AVE, CLEVELAND, OH 44105-6654
(216) 253-6627
Mailing address
9212 VINEYARD AVE, CLEVELAND, OH 44105-6654
(216) 253-6627
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
10/23/2013
Last updated
10/23/2013
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