Individual
BREANNA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4445 MAGNOLIA AVE, RIVERSIDE, CA 92501-4135
(951) 788-3000
Mailing address
4222 E BROWN RD UNIT 13, MESA, AZ 85205-4056
(909) 731-1429
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95016797
CA
Other
Enumeration date
03/08/2021
Last updated
12/21/2023
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