Individual
JOHNNY VISSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20918 VERNE AVE, LAKEWOOD, CA 90715-1637
(562) 522-4119
Mailing address
20918 VERNE AVE, LAKEWOOD, CA 90715-1637
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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