Constance Laurie Johnson

NPI #1194505024 in Euclid, Ohio

Provider Information

NPI Number: 1194505024
Entity Type: Individual
Name: Constance Laurie Johnson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Enumeration Date: Sep 28, 2023
Last Updated: Oct 16, 2023

Practice Location

Address: 23991 EFFINGHAM BLVD
City: Euclid
State: Ohio
ZIP Code: 44117-1924
Phone: (216) 692-1366

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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