Individual
JENNIFER DEE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
38785 PALO COLORADO RD, CARMEL, CA 93923
(831) 250-0634
Mailing address
PO BOX 109, BIG SUR, CA 93920-0109
(831) 747-4430
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
LM548
CA
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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