Individual
TAVARUS JOHN HENRY JOHNSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2261 S WATNEY WAY, FAIRFIELD, CA 94533-6757
(707) 344-9295
Mailing address
329 MARSTON CT, SUISUN CITY, CA 94585-4135
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
CA
Other
Enumeration date
03/03/2026
Last updated
03/05/2026
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