Individual
ALVINCENT RAMONE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
997 LAUREL CREEK WAY, FAIRFIELD, CA 94533-7066
(707) 342-9368
Mailing address
997 LAUREL CREEK WAY, FAIRFIELD, CA 94533-7066
(707) 342-9368
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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