Individual
CLARE THERESE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
710 MISSOURI ST, FAIRFIELD, CA 94533-6251
(530) 902-2604
Mailing address
710 MISSOURI ST, FAIRFIELD, CA 94533-6251
(707) 412-0518
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
21388
CA
Other
Enumeration date
04/07/2025
Last updated
05/01/2025
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