Individual
MS. ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
875 BLAKE WILBUR DR, STANFORD, CA 94305
(650) 721-5448
Mailing address
875 BLAKE WILBUR DRIVE, STANFORD, CA 94305-5826
(650) 721-5448
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 17782
CA
Other
Enumeration date
06/04/2007
Last updated
05/10/2010
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