Individual
CRYSTAL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
811 W TELEGRAPH RD, SANTA PAULA, CA 93060-5400
(805) 265-4894
Mailing address
811 W TELEGRAPH RD, SANTA PAULA, CA 93060-5400
(805) 265-4894
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
277956
CA
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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