Individual
MRS. ANDREA MICHELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
26520 CACTUS AVENUE, MORENO VALLEY, CA 92555
(951) 486-4397
(951) 486-5910
Mailing address
26520 CACTUS AVENUE, MORENO VALLEY, CA 92555
(951) 486-4397
(951) 486-5910
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
20A12720
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/21/2011
Last updated
02/18/2015
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