Individual
DARNISHA TINEKA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14139 BUCHER AVE, SYLMAR, CA 91342-1442
(310) 221-6336
Mailing address
14139 BUCHER AVE, SYLMAR, CA 91342-1442
(310) 221-6336
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
374700000X
Technician
—
—
Other
Enumeration date
09/16/2022
Last updated
10/03/2023
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