Individual
MS. BOSHANDA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHHA
Contact information
Practice address
17420 NAUSET CT, CARSON, CA 90746-1638
(323) 833-6975
(424) 785-7455
Mailing address
PO BOX 5384, CARSON, CA 90749-5384
(323) 833-6975
(424) 785-7455
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
00781852
CA
Other
Enumeration date
09/13/2010
Last updated
07/10/2011
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