Tikita Lavette Johnson LPN

NPI 1265851596 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1265851596
Gender Female
Enumeration Date 04/15/2014
Last Updated 04/15/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
4401 ROCKSIDE RD
SUITE 212
INDEPENDENCE OH, 44131-2146, US
Phone (216) 520-0309
Fax
Business Location
5915 WHITE AVE
CLEVELAND OH, 44103-3031, US
Phone (216) 376-8939
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Ohio
License Number PN109725
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According to our database, Ms. Tikita Lavette Johnson LPN NPI is 1265851596, taxonomy code is 164W00000X and license number is PN109725, license state is located at Ohio. Tikita Lavette Johnson LPN physically located at 4401 Rockside Rd, Independence OH, 44131-2146. NPI Number Tikita Lavette Johnson LPN has the Individual type.

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1265851596 NPI number is provided on an as is basis without warranty of any kind. 1265851596 is maintained by the National Plan & Provider Enumeration System. The contents of Tikita Lavette Johnson LPN are for informational purposes only.