Individual
SHARON JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
42322 CIRCULO CAVINARA, MURRIETA, CA 92562-6150
(909) 731-1916
Mailing address
42322 CIRCULO CAVINARA, MURRIETA, CA 92562-6150
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
AT2312
CA
Other
Enumeration date
01/27/2016
Last updated
01/27/2016
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