Individual
GERARD FLEETWOOD JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5030 EL CAMINO AVE, CARMICHAEL, CA 95608-4650
(916) 609-5171
Mailing address
6175 GREENHAVEN DR APT C, SACRAMENTO, CA 95831-1653
(559) 313-6025
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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