Individual
JILL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2637 W BURREL AVE, VISALIA, CA 93291-4511
(559) 747-0115
Mailing address
PO BOX 5091, VISALIA, CA 93278-5091
(555) 974-7011
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN230444
CA
Other
Enumeration date
03/27/2014
Last updated
03/27/2014
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