Individual
KORY D JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5235 MISSION OAKS BLVD # 574, CAMARILLO, CA 93012-5400
(360) 421-5953
Mailing address
5235 MISSION OAKS BLVD # 574, CAMARILLO, CA 93012-5400
(360) 421-5953
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
02/22/2012
Last updated
05/02/2013
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