SearchOhio164W00000X

Latricia Johnson

NPI 1699040162 · on the registry since 2012 · sole proprietor

Practice

Address
7897 Oak Orchard Ave
Blacklick, OH 43004
Phone
(614) 515-0879

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-03-17

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