Individual
EVAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1971 E 4TH ST STE 200, SANTA ANA, CA 92705-3917
(888) 959-5192
Mailing address
3102 JAMESON PASS, ALPHARETTA, GA 30022-3028
(562) 677-4396
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA14256
TX
Other
Enumeration date
12/12/2020
Last updated
04/01/2024
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