Individual
ALEXIA RAI JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3255 WING ST, SAN DIEGO, CA 92110-4638
(619) 269-6079
Mailing address
3255 WING ST, SAN DIEGO, CA 92110-4638
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
175T00000X
NON-PROFIT
—
Enumeration date
12/01/2022
Last updated
10/24/2023
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