Individual
ASHLEY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
160 S 7TH AVE, LA PUENTE, CA 91746-3211
(626) 961-8971
Mailing address
856 N CALIFORNIA AVE, LA PUENTE, CA 91744-2605
(626) 474-1758
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/18/2019
Last updated
03/09/2020
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