Individual
MRS. CAROLYNN DENISE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
19 N KNIFFIN ST, GREENWICH, OH 44837-1103
(567) 224-5117
Mailing address
19 N KNIFFIN ST, GREENWICH, OH 44837-1103
(567) 224-5117
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.144660.MEDS-IV
OH
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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