Individual
MRS. JENNIFER ANN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
3457 BRITTANY WAY, EL DORADO HILLS, CA 95762-3950
(408) 813-0343
Mailing address
3457 BRITTANY WAY, EL DORADO HILLS, CA 95762-3950
(408) 813-0343
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
HAP765
CA
Other
Enumeration date
03/04/2021
Last updated
04/07/2021
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