Individual
MRS. THERESE LYNN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
147 N BRENT ST, VENTURA, CA 93003-2809
(805) 652-5011
Mailing address
203 S SANTA ROSA ST, VENTURA, CA 93001-3432
(805) 368-6360
(805) 653-5899
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
457085
CA
Other
Enumeration date
02/01/2012
Last updated
02/01/2012
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