Individual
ANDREA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11745 FIRESTONE BLVD, NORWALK, CA 90650-8851
(562) 207-4272
Mailing address
937 OLIVE AVE, LONG BEACH, CA 90813-4627
(562) 313-6325
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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