Individual
ANGEL LATRICE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10701 EAST BLVD, CLEVELAND, OH 44106-1702
(216) 791-3800
Mailing address
4789 FAY DR, SOUTH EUCLID, OH 44121-3884
(216) 392-5945
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.327822
OH
Other
Enumeration date
01/12/2023
Last updated
01/12/2023
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