Individual
MR. JEFFREY KYLE JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1714 21ST ST, SANTA MONICA, CA 90404-3917
(310) 908-8859
Mailing address
5780 W CENTINELA AVE, APT. 301, LOS ANGELES, CA 90045-1599
(310) 337-9137
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/26/2006
Last updated
07/08/2007
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