Individual
ALLIENA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
335 SAXONY RD, ENCINITAS, CA 92024-2723
(661) 998-9179
Mailing address
5112 ROSCREA AVE, SAN DIEGO, CA 92117-1546
(619) 820-7721
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
04/08/2022
Last updated
04/08/2022
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