MRS. Glenda Alise Johnson, 05/04/1974

NPI #1689832420 in Cleveland, Ohio

Provider Information

NPI Number
1689832420
Entity Type
Individual
Name
MRS. Glenda Alise Johnson, 05/04/1974
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nursing Home Administrator
Credential
05/04/1974
Enumeration Date
May 29, 2008
Last Updated
Jun 25, 2011

Practice Location

Address
13514 KELSO AVE
State
Ohio
ZIP Code
44110
Phone
(216) 925-6559

Specialties & Taxonomy Codes

Specialty
Nursing Home Administrator

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