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Individual

BROOKE ANNE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3815 MARCONI AVE, SACRAMENTO, CA 95821-3867
(916) 584-7800
Mailing address
3815 MARCONI AVE, SACRAMENTO, CA 95821-3867

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CA

Other

Enumeration date
05/01/2018
Last updated
05/01/2018
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