Individual
MARY ROSE JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11033 STATE ROUTE 218, CROWN CITY, OH 45623-9272
(740) 645-1927
Mailing address
11033 STATE ROUTE 218, CROWN CITY, OH 45623-9272
(740) 645-1927
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2727302
—
OH
Enumeration date
08/25/2021
Last updated
08/27/2024
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