Individual
MRS. ALOA JOHNSONRODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
28665 WINDRIDGE DR, MENIFEE, CA 92584-8474
(951) 672-3690
(951) 672-3690
Mailing address
28665 WINDRIDGE DR, MENIFEE, CA 92584-8474
(951) 672-3690
(951) 672-3690
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN251365
CA
171M00000X
Case Manager/Care Coordinator
336408011
CA
Other
Enumeration date
07/18/2011
Last updated
07/18/2011
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