Individual
SHARON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2019 SATURN ST, MONTEREY PARK, CA 91755-7415
(323) 724-0019
Mailing address
5982 FOREST GLEN DR, FONTANA, CA 92336-1069
(323) 842-3280
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
VN278109
CA
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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