Individual
GESSICA JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 AIRPORT BLVD STE 100, BURLINGAME, CA 94010-1980
(415) 652-3581
Mailing address
896 TERRA CALIFORNIA DR, #3, WALNUT CREEK, CA 94595-3086
(925) 287-8087
(925) 287-1797
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G22811
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19812
LICENSE
AZ
01
—
G22811
LICENSE
CA
Enumeration date
05/10/2007
Last updated
07/08/2007
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