Individual
DESMOND R JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1441 FLORIDA AVE, MODESTO, CA 95350-4405
(209) 578-1211
Mailing address
3400 COFFEE RD, APT 262, MODESTO, CA 95355
(316) 806-7508
(209) 342-3237
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
08/10/2007
Last updated
08/10/2007
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