Individual
MS. BOBBIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
12620 COBALT RD, VICTORVILLE, CA 92392-6277
(951) 743-7922
Mailing address
12620 COBALT RD, VICTORVILLE, CA 92392-6277
(951) 743-7922
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
558850
CA
Other
Enumeration date
03/10/2014
Last updated
03/10/2014
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