MRS. Jettie Marie Johnson
NPI #1649573817 in Cumberland, Indiana
Provider Information
- NPI Number
- 1649573817
- Entity Type
- Individual
- Name
- MRS. Jettie Marie Johnson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- In Home Supportive Care
- Enumeration Date
- Dec 10, 2010
- Last Updated
- Dec 10, 2010
Practice Location
- Address
- 2736 ROTHE LN
- City
- Cumberland
- State
- Indiana
- ZIP Code
- 46229-5516
- Phone
- (317) 454-3930
Specialties & Taxonomy Codes
| Specialty |
|---|
| In Home Supportive Care |
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