Individual
KIMBERLY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
716 KATHERINE AVE, YOUNGSTOWN, OH 44505-3428
(330) 747-6340
Mailing address
835 CRANDALL AVE, YOUNGSTOWN, OH 44510-1216
(234) 254-8119
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/19/2024
Last updated
10/19/2024
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