Individual
JASMINE JAYE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16250 HOMECOMING DR UNIT 1545, CHINO, CA 91708-8846
(951) 675-9051
Mailing address
16250 HOMECOMING DR UNIT 1545, CHINO, CA 91708-8846
(951) 675-9051
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
287195
CA
Other
Enumeration date
07/21/2019
Last updated
07/21/2019
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