Individual
TEHRISA ANNE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15869 OLIVER ST, MORENO VALLEY, CA 92555-4912
(951) 464-6241
Mailing address
15869 OLIVER ST, MORENO VALLEY, CA 92555-4912
(951) 464-6241
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SPA8717
CA
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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