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Individual

MRS. CHRISTINE M. JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN, ANP-BC, PMHNP

Contact information

Practice address
286 EUCLID AVE, PROJECT ENABLE WELLNESS & RECOVERY CTR, SAN DIEGO, CA 92114
(619) 266-2111
(619) 266-0496
Mailing address
286 EUCLID AVE, PROJECT ENABLE WELLNESS & RECOVERY CTR, SAN DIEGO, CA 92114
(619) 266-2111
(619) 266-0496

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
526349
CA
261QP2300X
Primary Care Clinic/Center
363L00000X
Nurse Practitioner
Primary
20022
CA

Other

Enumeration date
08/02/2010
Last updated
11/08/2012
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