Individual
JULIETTE ARELY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6636 NAGLE AVE, VAN NUYS, CA 91401-1209
(818) 915-6603
Mailing address
1317 N SAN FERNANDO BLVD, BURBANK, CA 91504-4236
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
CPT00023073
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
922040663
CONTRACTOR
CA
Enumeration date
02/08/2023
Last updated
02/08/2023
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