Individual
MRS. CORBY SAMANTHA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6939 TRENTON FRANKLIN RD, MIDDLETOWN, OH 45042-1335
(513) 217-1519
Mailing address
6939 TRENTON FRANKLIN RD, MIDDLETOWN, OH 45042-1335
(513) 217-1519
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
137744
OH
Other
Enumeration date
01/13/2010
Last updated
01/13/2010
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