Individual
PEGGY ANN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4922 W ROBERTS DR, SANTA ANA, CA 92704-1952
(949) 400-8000
Mailing address
4922 W ROBERTS DR, SANTA ANA, CA 92704-1952
(949) 400-8000
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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