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Individual

ANTOINETTE MICHELLE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LVN

Contact information

Practice address
2614 TROPICAL AVE, BAKERSFIELD, CA 93313-2205
(661) 663-8559
Mailing address
1010 1/2 S UNION AVE, BAKERSFIELD, CA 93307-3642
(661) 321-0234
(661) 321-9856

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN187929
CA

Other

Enumeration date
11/17/2008
Last updated
11/17/2008
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