Individual
PRESTON JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1734 XIMENO AVE APT 4, LONG BEACH, CA 90815-3751
(760) 550-4403
Mailing address
1734 XIMENO AVE APT 4, LONG BEACH, CA 90815-3751
(760) 550-4403
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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