Individual
AYANA TAKEIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 HUGHES WAY STE 150, LONG BEACH, CA 90810-1878
(310) 221-6350
Mailing address
1501 HUGHES WAY STE 150, LONG BEACH, CA 90810-1878
(310) 221-6350
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
815553
CA
Other
Enumeration date
03/13/2019
Last updated
03/13/2019
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