Individual
ADAM JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16573 AUBURN RD, GRASS VALLEY, CA 95949-8762
(191) 636-4839
Mailing address
1457 DIAMOND PARK LN, ROSEVILLE, CA 95747-4611
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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