Individual
EDWARD B JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
395 BALLANTYNE ST # 305, EL CAJON, CA 92020-3922
(619) 588-3653
Mailing address
395 BALLANTYNE ST # 305, EL CAJON, CA 92020-3922
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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