Individual
MS. CHARMIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHLS
Contact information
Practice address
7309 UNIVERSITY AVE STE B, LA MESA, CA 91942-0525
(619) 504-3850
Mailing address
4410 ROSEBUD LN APT C, LA MESA, CA 91941-6267
(619) 504-3850
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
08/27/2019
Last updated
08/28/2019
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