Stacey D Johnson

NPI #1942016498 in Bedford, Ohio

Provider Information

NPI Number: 1942016498
Entity Type: Individual
Name: Stacey D Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Driver
Enumeration Date: Dec 9, 2024
Last Updated: Dec 9, 2024

Practice Location

Address: 509 WESTVIEW RD
City: Bedford
State: Ohio
ZIP Code: 44146-2240
Phone: (216) 926-9074

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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