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Individual

MRS. RAMONA LYNN JOHNSON-HACKETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BS,RTC

Contact information

Practice address
11301 WILSHIRE BLVD, BLDG. 215, LOS ANGELES, CA 90073-1003
(310) 478-3711
Mailing address
1341 GLEN AVE APT 1, PASADENA, CA 91103-2527
(626) 797-1382

Taxonomy

Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
4067-T
CA

Other

Enumeration date
11/06/2006
Last updated
07/08/2007
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