Individual
JACQUELINE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44226 10TH ST W, LANCASTER, CA 93534-4134
(661) 942-4719
Mailing address
2915 CROCUS PL, PALMDALE, CA 93551-6162
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/07/2022
Last updated
04/07/2022
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