Individual
COSSETTE GEORGINA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9228 ALLANO WAY, SANTEE, CA 92071-2202
(619) 596-2081
Mailing address
326 SANDY ST, EL CAJON, CA 92020-5839
(619) 219-4709
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N8143487
DRIVER LICENSE
CA
Enumeration date
08/20/2020
Last updated
08/20/2020
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