Individual
ANJETTA RENE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7105 6TH PKWY, SACRAMENTO, CA 95823-2201
(916) 266-3008
Mailing address
7105 6TH PKWY, SACRAMENTO, CA 95823-2201
(916) 266-3008
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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