Individual
HANNAH GRACE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPAS, PA-C
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
62720
CA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
04/05/2020
Last updated
10/26/2023
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