Individual
KASHEKA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 CYPRESS ST, ANTIOCH, CA 94509-5245
(925) 204-5007
Mailing address
2400 CYPRESS ST, ANTIOCH, CA 94509-5245
(925) 204-5007
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
202355013838
CA
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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