NPI Registry.org

Jaden D Johnson

NPI Registration Record

Provider / OrganizationNPIDate Certified
JADEN D JOHNSON11640374462020-09-13
Entity TypeIndividual
Provider Name Jaden D Johnson
Practice Office Address3640 COLONEL GLENN HWY.
117 HEALTH SCIENCES BLDG
DAYTON, OH US
Practice Office Telephone9377753458
Mailing Address3640 COLONEL GLENN HWY
117 HEALTH SCIENCES BLDG.
DAYTON, OH 454350002 US
Business Telephone9377753458
HPT Codes
CodeLicense NoState
390200000X PRIMARY
OPI Codes

© 2020 NPIRegistry.org | Contact | Privacy Policy
45 CFR Part 162