STACY L JOHNSON

FAIRBORN, OH
NPI1851579387
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OH  122515)
Enumeration Date2008-02-06
Last Update Date2008-02-06
Business Address
Mrs. STACY L JOHNSON LPN
326 SHADE DR
FAIRBORN, OH 45324-4239
Phone number: 937-361-9764
Mailing Address
Mrs. STACY L JOHNSON LPN
326 SHADE DR
FAIRBORN, OH 45324-4239
Phone number: 937-361-9764