Individual
MARISSA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2067 W VISTA WAY STE 250, VISTA, CA 92083-6034
(562) 490-9900
Mailing address
3401 PIAZZA DE ORO WAY UNIT 2, OCEANSIDE, CA 92056-3783
(515) 868-8281
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95025351
CA
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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