Individual
ANDRE WYDELL JOHNSON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2120 HORTON ST # 43620, TOLEDO, OH 43620-1749
(419) 557-1311
Mailing address
2120 HORTON ST # 43620, TOLEDO, OH 43620-1749
(419) 557-1311
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
RN801269
OH
Other
Enumeration date
01/20/2025
Last updated
01/20/2025
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