Individual
A'RYANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1214 EDDINGTON ST, UPLAND, CA 91786-3440
(909) 773-8597
Mailing address
7255 HELENA PL, FONTANA, CA 92336-5759
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
CA
Other
Enumeration date
03/28/2019
Last updated
02/19/2020
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