Individual
ALEXANDRIA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
541 S HAM LN STE A&B, LODI, CA 95242-3059
(209) 553-0798
Mailing address
541 S HAM LN STE A&B, LODI, CA 95242-3059
(209) 663-8521
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
710544
CA
Other
Enumeration date
12/19/2022
Last updated
06/30/2023
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