Individual
MR. ROBERT T JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASSAGE LICENSE
Contact information
Practice address
4717 W 160TH ST, LAWNDALE, CA 90260-2505
(352) 514-8798
Mailing address
4717 W 160TH ST, LAWNDALE, CA 90260-2505
(352) 514-8798
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
81443
CA
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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