Individual
PAMELA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6360 OLD REDWOOD HWY, SANTA ROSA, CA 95403-1125
(707) 836-7777
(707) 838-0820
Mailing address
6360 OLD REDWOOD HWY, SANTA ROSA, CA 95403-1125
(707) 836-7777
(707) 838-0820
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
4968013672
CA
Other
Enumeration date
06/03/2025
Last updated
08/29/2025
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