Individual
GREGORY EUGENE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
29970 TECHNOLOGY DR STE 220B, MURRIETA, CA 92563-2650
(951) 900-4414
Mailing address
29970 TECHNOLOGY DR STE 220B, MURRIETA, CA 92563-2650
(951) 900-4414
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/29/2021
Last updated
11/29/2021
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