Individual
BRE'AYSIA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19 WALTER ST, CAMPBELL, OH 44405-1367
(234) 313-1829
Mailing address
19 WALTER ST, CAMPBELL, OH 44405-1367
(234) 313-1829
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
602761021123
OH
Other
Enumeration date
12/14/2023
Last updated
12/14/2023
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