Individual
MONTAVIA TRANEE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3446 BOUDINOT AVE, CINCINNATI, OH 45211-5710
(513) 372-1293
Mailing address
3446 BOUDINOT AVE, CINCINNATI, OH 45211-5710
(513) 372-1293
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
602514780123
OH
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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