Individual
MRS. KATHLEEN THERESA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1841 E MAIN ST, BARSTOW, CA 92311-3234
(760) 255-5700
(760) 256-5092
Mailing address
12625 HESPERIA RD, VICTORVILLE, CA 92395-7720
(760) 995-8300
(760) 955-2356
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
610741
CA
Other
Enumeration date
05/21/2018
Last updated
05/21/2018
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