Individual
MIERRA LAEMORI JOHNSON-GRIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4514 BAYSHIRE RD, GROVEPORT, OH 43125-9205
(380) 799-3513
Mailing address
4514 BAYSHIRE RD, GROVEPORT, OH 43125-9205
(380) 799-3513
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
189888
OH
376J00000X
Homemaker
Primary
—
OH
Other
Enumeration date
11/11/2025
Last updated
11/11/2025
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