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Individual

KORYLEA JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
7117 BROCKTON AVE, RIVERSIDE, CA 92506-2658
(951) 782-3721
(951) 784-3269
Mailing address
3660 ARLINGTON AVE, RIVERSIDE, CA 92506-3987

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95019832
CA

Other

Enumeration date
01/29/2022
Last updated
07/30/2025
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