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Jaquala Johnson

NPI 1174235733 · on the registry since 2022 · sole proprietor

Practice

Address
1652 Manhattan Ave
Youngstown, OH 44509
Phone
(330) 348-3425

Registry record

Primary taxonomy
374U00000X
374U00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-12-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio