Individual
RAVEN MARIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6035 KITTY HAWK DR, RIVERSIDE, CA 92504-1421
(951) 212-5069
Mailing address
6035 KITTY HAWK DR, RIVERSIDE, CA 92504-1421
(951) 212-5069
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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