Individual
DENISE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1159 6TH AVE, #211, SAN DIEGO, CA 92101-5203
(619) 372-3289
Mailing address
1159 6TH AVE, #211, SAN DIEGO, CA 92101-5203
(619) 372-3289
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
629300
CA
Other
Enumeration date
07/20/2015
Last updated
07/20/2015
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