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Individual

JARNICE LOUISE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
11919 HESPERIA RD, SUITE A, HESPERIA, CA 92345-2158
(760) 948-1454
(760) 948-6100
Mailing address
11919 HESPERIA RD, SUITE A, HESPERIA, CA 92345-2158
(760) 948-1454
(760) 948-6100

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
21342
CA

Other

Enumeration date
02/15/2011
Last updated
12/01/2021
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