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Individual

JESSICA ALLISON JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LM,CPM

Contact information

Practice address
1221 SAM AVE, MODESTO, CA 95351-4617
(209) 482-8682
(209) 527-9737
Mailing address
1221 SAM AVE, MODESTO, CA 95351-4617
(209) 482-8682
(209) 527-9737

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
LM305
CA

Other

Enumeration date
05/25/2011
Last updated
05/25/2011
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