Most Relevant Information
Provider Data
| NPI Number: | 1003679887 |
| Provider Name: | TALIBAH JOHNSON |
| Entity Type: | Individual |
| Taxonomy Code: | 374U00000X |
| Specialty: | Home Health Aide |
| License Number: | RS633693 |
Most Important Dates
| Enumeration Date: | 02/05/2024 |
| Last Updated: | 02/05/2024 |
Provider Practice Location
1526 SHENANDOAH RD
TOLEDO
OH
436071721
Practice Location Phone/Fax
| Phone: | 4199173830 |
| Fax: |
Provider Mailing Location
1526 SHENANDOAH RD
TOLEDO
OH
436071721
Provider Mailing Phone/Fax
| Phone: | 4199173830 |
| Fax: |