Individual
CHANCE E. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
58967 BUSINESS CENTER DR, SUITE C, D, & E, YUCCA VALLEY, CA 92284-7308
(760) 369-3130
Mailing address
58967 BUSINESS CENTER DR, SUITE C, D, & E, YUCCA VALLEY, CA 92284-7308
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/02/2012
Last updated
03/02/2012
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