JETTIE MARIE JOHNSON

CUMBERLAND, IN
NPI1649573817
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy253Z00000X In Home Supportive Care
(Licence: IN  10-012295-1)
Enumeration Date2010-12-10
Last Update Date2010-12-10
Business Address
Mrs. JETTIE MARIE JOHNSON
2736 ROTHE LN
CUMBERLAND, IN 46229-5516
Phone number: 317-454-3930
Mailing Address
Mrs. JETTIE MARIE JOHNSON
2736 ROTHE LN
CUMBERLAND, IN 46229-5516
Phone number: 317-454-3930