Individual
BRYCE R JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5037 STROMING ROAD, MARIPOSA, CA 95338-0099
(209) 966-2000
(209) 966-8251
Mailing address
P O BOX 99, MARIPOSA, CA 95338-0099
(209) 966-2000
(209) 966-8251
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/23/2009
Last updated
10/23/2009
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