Individual
NATASHA L. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
126 SPANISH TRL APT F, ROCHESTER, NY 14612-4613
(607) 661-5418
Mailing address
8510 BALBOA BLVD STE 150, NORTHRIDGE, CA 91325-5810
(818) 637-2000
(818) 654-3417
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
014190
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03261218
—
NY
Enumeration date
08/16/2010
Last updated
12/09/2015
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