Individual
DEONTE JOVAN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3630 MOORES TRAIL RD APT 106, COLUMBUS, OH 43228-4346
(614) 446-1051
Mailing address
3630 MOORES TRAIL RD APT 106, COLUMBUS, OH 43228-4346
(614) 446-1051
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
SW632987
OH
Other
Enumeration date
08/23/2024
Last updated
09/08/2024
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