Individual
LANEISHA DEWAYNA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2999 KENDALL DR, SAN BERNARDINO, CA 92407-2415
(909) 347-8765
Mailing address
1676 GARLAND WAY, BEAUMONT, CA 92223-3223
(909) 749-5175
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
CA
Other
Enumeration date
02/22/2024
Last updated
02/22/2024
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