Individual
MR. CLEMENT E JOHNSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSM
Contact information
Practice address
2173 SALK AVE STE 250, CARLSBAD, CA 92008-7383
(855) 816-5558
(855) 816-5558
Mailing address
2173 SALK AVE STE 250, CARLSBAD, CA 92008-7383
(855) 816-5558
(855) 816-5558
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
FH102860287
CA
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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