Individual
MS. MICHELLE CATHLEEN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2046 OAK CREEK PL, HAYWARD, CA 94541-5552
(510) 861-2657
Mailing address
2046 OAK CREEK PLACE, HAYWARD, CA 94541
(510) 861-2657
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
22647
CA
Other
Enumeration date
01/14/2013
Last updated
01/14/2013
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