NPI 1093938987

Evelyn Ann Johnson

Practitioner Contractor Ironton, OH

Practice location

Address: 370 Susan Court, Ironton, OH 45638-1411
Phone: (740) 533-3973
Mailing address: 368 Susan Court, Ironton, OH 45638-1411

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 2519813 (OH)

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Registry record

NPI: 1093938987
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Apr 2007
Record last updated: 9 Jul 2007

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.