Individual
KATHLEEN MICHELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, MED
Contact information
Practice address
14000 FRUITVALE AVE, SARATOGA, CA 95070-5640
(408) 741-2005
Mailing address
14000 FRUITVALE AVE, SARATOGA, CA 95070-5698
(408) 741-2005
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/12/2019
Last updated
12/12/2019
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