Individual
SHERECA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3603 LIMESTONE AVE, DAYTON, OH 45417-4114
(937) 469-4573
Mailing address
3603 LIMESTONE AVE, DAYTON, OH 45417-4114
(937) 469-4573
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401241640511
OH
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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