Individual
ANITA DAWN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1517 CORONADO, BEAUMONT, CA 92223-7494
(951) 237-1777
Mailing address
1517 CORONADO, BEAUMONT, CA 92223-7494
(951) 237-1777
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
536467
CA
Other
Enumeration date
01/03/2022
Last updated
01/03/2022
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