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Individual
CHAD ELIJAH JOHNSON
Active
Individual
CHAD ELIJAH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
95169322
CA
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
5184
CA
Other
Enumeration date
02/15/2025
Last updated
02/15/2025
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