Individual
HEATHER RENEE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6699 CORTE MARIA, CARLSBAD, CA 92009-5917
(858) 232-1289
Mailing address
6699 CORTE MARIA, CARLSBAD, CA 92009-5917
(858) 232-1289
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95009857
CA
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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