Individual
AMANDA FARNHAM JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 340-3911
Mailing address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
826905
CA
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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