Individual
CASSANDRA MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1950 PARALLEL DR, LAKEPORT, CA 95453-9388
(707) 263-3949
(707) 263-3985
Mailing address
2730 SHADELANDS DR BLDG 10, WALNUT CREEK, CA 94598-2538
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/21/2018
Last updated
10/29/2018
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