Individual
MS. DEBORA L JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-A
Contact information
Practice address
1700 ALAMEDA ST, POMONA, CA 91768-1727
(909) 397-9247
(909) 397-9248
Mailing address
5319 RAINTREE CIR, CULVER CITY, CA 90230-4477
(213) 309-4099
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU1411
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AU0014110
—
CA
Enumeration date
01/24/2007
Last updated
07/09/2007
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