Individual
LEKEISHA LATRICE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1775 CHESTNUT AVE, LONG BEACH, CA 90813-1674
(562) 599-8444
Mailing address
1775 CHESTNUT AVE, LONG BEACH, CA 90813-1674
(562) 599-8444
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
A8600756
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A8600756
MEDICAL ASSISTANT DRIVER'S LIC
CA
Enumeration date
08/15/2018
Last updated
08/15/2018
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