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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. GLENDA ALISE JOHNSON, 05/04/1974

Active Sole Proprietor

MRS. GLENDA ALISE JOHNSON, 05/04/1974 is a 376G00000X healthcare provider located in CLEVELAND, Ohio. NPI 1689832420 is currently active in the NPPES registry. Verify at CMS.

376G00000X · CLEVELAND, OH

Registration Details

NPI Number
1689832420
Provider Type
Individual
Gender
Female
NPI Issued
May 29, 2008 (18.242096400976 yrs)
Last Updated
Jun 25, 2011
License
375268750696 (OH)
Sole Proprietor
Yes

Practice Information

Address
13514 KELSO AVE
CLEVELAND, OH, 44110
Browse OH providers · Browse ZIP 44110
Phone
2169256559
Primary Specialty
376G00000X
376G00000X

Other 376G00000X Providers in CLEVELAND, OH

Name Credential NPI
YAHAIRA N/A MASON 1427658152
SHAKAHNA HOLLOWAY STNA 1417667007
KATELYNN BEYONCE BRACEY 1972476372
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.