Individual
SARA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
230 NEWPORT CENTER DR, #250, NEWPORT BEACH, CA 92660-7509
(612) 716-8631
Mailing address
230 NEWPORT CENTER DR, #250, NEWPORT BEACH, CA 92660-7509
(612) 716-8631
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
44861
CA
Other
Enumeration date
07/20/2015
Last updated
07/20/2015
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