Individual
DIENISHA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1730 W OLYMPIC BLVD FL 3A-100, LOS ANGELES, CA 90015-1019
(213) 236-9394
(231) 236-9662
Mailing address
1730 W OLYMPIC BLVD FL 3A-100, LOS ANGELES, CA 90015-1019
(213) 236-9394
(231) 236-9662
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
08/08/2011
Last updated
05/28/2014
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