Individual
MRS. MARISA TAFARE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5801 PECAN AVE, ORANGEVALE, CA 95662-4622
(530) 753-2566
Mailing address
3840 ROSIN CT, SACRAMENTO, CA 95834-1639
(530) 753-2566
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
172V00000X
Community Health Worker
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
01/03/2024
Last updated
04/23/2025
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