Individual
MR. JOHNNIE A BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
333 UNIVERSITY AVE STE 200, SACRAMENTO, CA 95825-6540
(916) 792-5551
Mailing address
333 UNIVERSITY AVE STE 200, SACRAMENTO, CA 95825-6540
(916) 792-5551
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
A7313301
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033606
TRANSPORTATION
CA
Enumeration date
08/07/2018
Last updated
08/07/2018
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