Individual
MS. CHRISANDRA BEVERLY MICHELLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
10023 PARKGATE AVE, CLEVELAND, OH 44108-3329
(216) 278-4169
Mailing address
10023 PARKGATE AVE, CLEVELAND, OH 44108-3329
(216) 278-4169
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
170318
OH
Other
Enumeration date
04/03/2020
Last updated
04/23/2020
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