Individual
KENDRA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
433 MAGNOLIA AVE APT 7, LONG BEACH, CA 90802-6603
(323) 693-1233
Mailing address
444 W OCEAN BLVD STE 800, LONG BEACH, CA 90802-4529
(323) 693-1233
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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