Individual
ANTONIQUE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 PAGE ST, SAN FRANCISCO, CA 94102-5811
(415) 553-4490
Mailing address
889 34TH ST, OAKLAND, CA 94608-4314
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/09/2008
Last updated
09/09/2008
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