Individual
MR. MEL JOSEPH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
370 E LASSEN AVE SPC 56, CHICO, CA 95973-0547
(530) 343-9068
Mailing address
370 E LASSEN AVE SPC 56, CHICO, CA 95973-0547
(530) 343-9068
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
457078
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN457078
RN LICENSE NUMBER
CA
Enumeration date
01/02/2007
Last updated
07/08/2007
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