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Tequila Johnson
NPI 1326501206 · on the registry since 2019 · sole proprietor
Practice
- Address
- 3894 Covington Rd
South Euclid, OH 44121 - Phone
- (216) 647-4787
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-04-09
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