Individual
JENNIFER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44447 10TH ST W, LANCASTER, CA 93534-3324
(661) 726-2630
Mailing address
20970 BOYLE RD, REDDING, CA 96003-9630
(530) 356-5595
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN 286618
CA
Other
Enumeration date
11/02/2016
Last updated
07/21/2022
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