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Individual

AMANDA MICHELLE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
2640 INDUSTRY WAY, LYNWOOD, CA 90262-4284
(310) 627-7452
Mailing address
2640 INDUSTRY WAY, LYNWOOD, CA 90262-4284
(310) 627-7452

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
851704
CA

Other

Enumeration date
08/02/2023
Last updated
08/02/2023
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