Individual
AMANDA DANIELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
161 WYNDCREST CT, B, MONROE, OH 45050-1791
(513) 620-9546
Mailing address
161 WYNDCREST CT, B, MONROE, OH 45050-1791
(513) 620-9546
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401371460412
OH
Other
Enumeration date
06/15/2015
Last updated
06/15/2015
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