Individual
MIKAELA JOHNSON JOHNSON VAAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5585 COCHRAN ST APT 188, SIMI VALLEY, CA 93063-6561
(719) 650-8158
Mailing address
5585 COCHRAN ST APT 188, SIMI VALLEY, CA 93063-6561
(719) 650-8158
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
—
—
225700000X
Massage Therapist
026333
NY
225700000X
Massage Therapist
77019
CA
374J00000X
Doula
Primary
—
—
Other
Enumeration date
01/10/2021
Last updated
01/10/2021
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