Individual
MS. GAIL EVONNE JOHNSON-MCINTYRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14344 CAJON AVE STE 102, VICTORVILLE, CA 92392-4301
(760) 243-3999
(760) 243-9449
Mailing address
14344 CAJON AVE STE 102, VICTORVILLE, CA 92392-4301
(760) 243-3999
(760) 243-9449
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
251E00000X
Home Health Agency
—
—
Other
Enumeration date
04/20/2020
Last updated
06/12/2020
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