Individual
TOMMIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1741 W NEIGHBORS AVE, ANAHEIM, CA 92801-2741
(213) 924-5987
Mailing address
1741 W NEIGHBORS AVE, ANAHEIM, CA 92801-2741
(213) 924-5987
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
3748A065
CA
Other
Enumeration date
05/03/2022
Last updated
05/03/2022
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