person
Mrs. Jennifer Sue Johnson
Optician in Massillon, Ohio
NPI 1639666803

Jennifer Sue Johnson is a Optician based in Massillon, OH and is specialized in Optician. Jennifer Sue Johnson practices in Massillon, OH. The NPI Number for Jennifer Sue Johnson is 1639666803 and holds a License No. S13138 (Ohio).

The current practice location address for Jennifer Sue Johnson is 220 Federal Ave Nw, Massillon, OH and can be reached out via phone at 330-833-1091.

Location: 220 Federal Ave Nw, Massillon, OH, 44647-5469
person
Provider Profile Details
NPI Number
1639666803
Provider Name
Jennifer Sue Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
220 Federal Ave Nw, Massillon, OH, 44647-5469
Phone Number
330-833-1091
Fax Number
Provider Enumeration Date
04/13/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8957884 05 OH
institution
Provider Business Practice Location Address Details
Address
220 Federal Ave Nw
City
State
Zip
44647-5469
Phone Number
330-833-1091
Fax Number
person
Provider Business Mailing Address Details
Address
220 Federal Ave Nw
City
State
Zip
44647-5469
Phone Number
330-833-1091
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
S13138 (Ohio)
Definition
Definition to come...
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