Individual
CHANDA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 NEWMAN RD, WAVERLY, OH 45690-9500
(740) 648-9900
Mailing address
209 NEWMAN RD, WAVERLY, OH 45690-9500
(740) 648-9900
Taxonomy
Speciality
Code
Description
License number
State
364SH0200X
Home Health Clinical Nurse Specialist
Primary
PN.159320.M-IV
OH
Other
Enumeration date
06/26/2015
Last updated
06/26/2015
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