JACQUELINE JOHNSON

WEST COVINA, CA
NPI1063957009
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95005643)
Enumeration Date2016-12-29
Last Update Date2017-01-12
Business Address
-- JACQUELINE JOHNSON
420 S. GLENDORA AVE
WEST COVINA, CA 91790
Phone number: 616-250-5247
Mailing Address
-- JACQUELINE JOHNSON
420 S. GLENDORA AVE
WEST COVINA, CA 91790
Phone number:
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