Individual
MISS HEATHER CHRISTINE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
591 HILLTOP DR APT 46, REDDING, CA 96003-4838
(707) 616-0190
Mailing address
591 HILLTOP DR APT 46, REDDING, CA 96003-4838
(707) 616-0190
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
704545
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
704545
CALIFORNIA BOARD OF NURSING
CA
Enumeration date
09/24/2021
Last updated
09/24/2021
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