Individual
ALEXANDRIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
508 GIBSON DR, SUITE 220, ROSEVILLE, CA 95678-5794
(916) 773-5577
Mailing address
508 GIBSON DR, SUITE 220, ROSEVILLE, CA 95678-5794
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
705301
CA
Other
Enumeration date
01/31/2012
Last updated
08/11/2014
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