Individual
MONIQUE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
539 AVIATOR CIR, SACRAMENTO, CA 95835-1255
(916) 806-7512
Mailing address
539 AVIATOR CIR, SACRAMENTO, CA 95835-1255
(916) 806-7512
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PN5152346
FL
164W00000X
Licensed Practical Nurse
Primary
PN5151324
FL
376K00000X
Nurse's Aide
—
FL
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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