Individual
MS. IDA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2480 NATCHEZ DR, COLUMBUS, OH 43209-3306
(314) 374-7804
Mailing address
2480 NATCHEZ DR, COLUMBUS, OH 43209-3306
(314) 374-7804
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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