Individual
RYAN LAYNE KALEO JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
43 SMITH RD, NEWPORT, RI 02841-1006
(401) 841-4335
Mailing address
34101 FARENHOLT AVE, SAN DIEGO, CA 92134-7000
(702) 624-0740
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
RI
Other
Enumeration date
05/03/2019
Last updated
12/18/2025
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