Individual
LESLIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
950 S MAIN ST STE 10, CELINA, OH 45822-2475
(419) 586-6899
Mailing address
830 W MAIN ST, COLDWATER, OH 45828-1626
(419) 678-5271
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003921
OH
Other
Enumeration date
11/19/2013
Last updated
02/16/2023
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