Individual
RENEE D JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNMT, R.T.(N)(ARRT)
Contact information
Practice address
1363 SYCAMORE AVE, HERCULES, CA 94547-5489
(510) 417-5711
(510) 964-4947
Mailing address
1363 SYCAMORE AVE, HERCULES, CA 94547-5489
(510) 417-5711
(510) 964-4644
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
RHN00004087
CA
Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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