Individual
MR. HORACE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1250 MORENA BLVD, SAN DIEGO, CA 92110-3815
(619) 692-8750
(619) 692-8779
Mailing address
1250 MORENA BLVD, SAN DIEGO, CA 92110-3815
(619) 692-8750
(619) 692-8779
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
268320
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
66279
NV
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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