Individual
SEPTEMBER ROSE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5857 OWENS AVE STE 300, CARLSBAD, CA 92008-5507
(714) 658-5926
Mailing address
3626 COLLEGE BLVD APT 25, OCEANSIDE, CA 92056-4641
(714) 658-5926
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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