Individual
SUSAN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1725 W 17TH ST, SANTA ANA, CA 92706-2316
(714) 834-7810
Mailing address
PO BOX 51242, IRVINE, CA 92619-1242
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN 288 297
CA
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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