Individual
MS. REVON YVETTE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2702 PAOLI PIKE APT 337, NEW ALBANY, IN 47150-5162
(502) 631-8418
Mailing address
2702 PAOLI PIKE APT 337, NEW ALBANY, IN 47150-5162
(502) 631-8418
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
02/07/2021
Last updated
02/07/2021
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