Susan Violet Johnson
NPI #1386254357 in Ridgeley, West Virginia
Provider Information
- NPI Number
- 1386254357
- Entity Type
- Individual
- Name
- Susan Violet Johnson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Aug 5, 2020
- Last Updated
- Jul 9, 2021
Practice Location
- Address
- 28 SITES DR
- City
- Ridgeley
- State
- West Virginia
- ZIP Code
- 26753-1800
- Phone
- (304) 851-7430
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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