Individual
HEATHER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11643 GLENOAKS BLVD, PACOIMA, CA 91331-1050
(818) 897-2609
(818) 890-7159
Mailing address
4760 SEPULVEDA BLVD, CULVER CITY, CA 90230-4820
(310) 390-6612
(818) 890-7159
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/22/2015
Last updated
01/22/2015
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