Individual
STEPHANIE LYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
44426 KINGTREE AVE, LANCASTER, CA 93534-3308
(661) 916-5184
Mailing address
44426 KINGTREE AVE, LANCASTER, CA 93534-3308
(661) 916-5184
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000
INSURANCE
CA
Enumeration date
06/07/2022
Last updated
06/07/2022
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