Individual
MRS. MICHELE RENEE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
260 E 15TH ST, MERCED, CA 95341-6216
(209) 381-1043
(209) 381-1102
Mailing address
260 E 15TH ST, MERCED, CA 95341-6216
(209) 381-1043
(209) 381-1102
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
782218
CA
Other
Enumeration date
07/18/2011
Last updated
07/18/2011
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