Individual
ASHLEY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29851 PEPPERCORN CIR, MENIFEE, CA 92584-7270
(301) 875-5340
Mailing address
29851 PEPPERCORN CIR, MENIFEE, CA 92584-7270
(301) 875-5340
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
—
GA
224P00000X
Prosthetist
Primary
—
GA
Other
Enumeration date
03/10/2020
Last updated
03/11/2020
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