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Individual

MS. DESHEMIA JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
26896 CLAYSTONE DR, MORENO VALLEY, CA 92555-3528
(951) 210-5169
Mailing address
26896 CLAYSTONE DR, MORENO VALLEY, CA 92555-3528
(951) 210-5169

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
758994
CA

Other

Enumeration date
02/06/2021
Last updated
02/06/2021
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