Individual
MRS. EILEEN MARIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, PHN
Contact information
Practice address
11484 B AVE, AUBURN, CA 95603-2603
(530) 889-7175
(530) 889-7195
Mailing address
PO BOX 5002, AUBURN, CA 95604-5002
(530) 889-1775
(530) 889-7195
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN536465
CA
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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