KERMIT JOHNSON

OAKLAND, CA
NPI1154533230
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA  g45056)
Enumeration Date2007-05-03
Last Update Date2007-07-08
Business Address
-- KERMIT JOHNSON
568 W GRAND AVE
OAKLAND, CA 94612-1618
Phone number: 510-268-7837
Mailing Address
-- KERMIT JOHNSON
43575 MISSION BLVD # 106
FREMONT, CA 94539-5831
Phone number:
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