Individual
DEBRA MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4065 COUNTY CIRCLE DR, RIVERSIDE, CA 92503-3410
(951) 358-5438
Mailing address
4065 COUNTY CIRCLE DR, RIVERSIDE, CA 92503-3410
(951) 358-5438
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
409579
CA
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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