Individual
MARSHA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
575 E HARDY ST, INGLEWOOD, CA 90301-4036
(323) 309-9874
Mailing address
4202 W 63RD ST, LOS ANGELES, CA 90043-3512
(323) 309-7894
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
595627
CA
Other
Enumeration date
03/21/2024
Last updated
03/21/2024
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