Individual
DESTINY B JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18430 BROOKHURST ST STE 201H, FOUNTAIN VALLEY, CA 92708-6757
(562) 373-8874
Mailing address
18430 BROOKHURST ST STE 201H, FOUNTAIN VALLEY, CA 92708-6757
(562) 373-8874
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/08/2020
Last updated
01/16/2024
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