JORDAN ISAIAH JOHNSON

SOUTH EUCLID, OH
NPI1871018366
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OH  LPN.143733.MEDS-IV)
Enumeration Date2017-08-07
Last Update Date2017-08-07
Business Address
JORDAN ISAIAH JOHNSON LPN
4503 EDMOND DR
SOUTH EUCLID, OH 44121-3907
Phone number: 216-990-6189
Mailing Address
JORDAN ISAIAH JOHNSON LPN
4503 EDMOND DR
SOUTH EUCLID, OH 44121-3907
Phone number: 216-990-6189
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