Individual
BETHANY ANNE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1560 CAPALINA RD, SAN MARCOS, CA 92069-1288
(760) 744-2104
Mailing address
1560 CAPALINA RD, SAN MARCOS, CA 92069-1288
(760) 744-2104
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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