Individual
MS. LINDA A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2107 DWIGHT WAY, SUITE 102, BERKELEY, CA 94704
(510) 644-0104
(510) 649-0219
Mailing address
2107 DWIGHT WAY STE 102, BERKELEY, CA 94704-2028
(510) 644-0104
(510) 649-0219
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
516
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7550813
—
CA
Enumeration date
12/05/2006
Last updated
07/16/2007
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