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Individual

ERNEST JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(909) 558-4000
Mailing address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(909) 558-4000

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95235842
CA
163W00000X
Registered Nurse
RN2316399
MA
163W00000X
Registered Nurse
RN9331886
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
95001455
CA
367500000X
Certified Registered Nurse Anesthetist
RN2316399
MA

Other

Enumeration date
05/11/2017
Last updated
12/17/2020
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