Individual
CAROLYN ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
682 BRIERGATE WAY, HAYWARD, CA 94544-7245
(510) 487-2910
(510) 487-2916
Mailing address
682 BRIERGATE WAY, HAYWARD, CA 94544-7245
(510) 487-2910
(510) 487-2916
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
CA
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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