Individual
MICHAELA QUIST JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, ATC
Contact information
Practice address
838 ACADEMY DR, SOLANA BEACH, CA 92075-2034
(858) 755-8900
Mailing address
910 N PACIFIC ST UNIT 22, OCEANSIDE, CA 92054-1945
(760) 846-1404
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/24/2021
Last updated
02/24/2021
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