Individual
ELIZABETH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
5 COLTON CT, WOODSIDE, CA 94062-4042
(650) 366-7632
Mailing address
5319 S FAITH HOME RD, TURLOCK, CA 95380-9358
(408) 506-8124
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN 262795
CA
Other
Enumeration date
05/09/2012
Last updated
05/09/2012
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