Individual
SAMANTHA JO JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11370 ANDERSON ST, SUITE 2050, LOMA LINDA, CA 92354-3450
(909) 558-2799
(909) 558-2704
Mailing address
11370 ANDERSON ST, SUITE 2050, LOMA LINDA, CA 92354-3450
(909) 558-2799
(909) 558-2704
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
19464
CA
Other
Enumeration date
10/28/2009
Last updated
07/08/2013
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