NPI 1063005460
Demarkco L Johnson
Practice location
- Address
- 10815 Tacoma Ave, Cleveland, OH 44108-3643
- Phone
- (216) 972-0392
Registered specialties
Non-emergency Medical Transport (VAN)
Primary
Registry record
- NPI
- 1063005460
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 17 Feb 2021
- Record last updated
- 17 Feb 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.