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Individual

DESHAWN ALLEN JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2371 GRAND AVE UNIT 90901, LONG BEACH, CA 90809-6031
(562) 212-5045
Mailing address
PO BOX 90901, LONG BEACH, CA 90809-0901
(562) 212-5045

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
436147
CA

Other

Enumeration date
08/07/2025
Last updated
08/07/2025
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