Individual
JUSTINE E JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18920 NEWTON AVE, CLEVELAND, OH 44119-1125
(216) 894-5511
Mailing address
18920 NEWTON AVE, CLEVELAND, OH 44119-1125
(216) 894-5511
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
04/13/2018
Last updated
04/13/2018
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