DEANTWANN JOHNSON

UPLAND, CA
NPI1164826400
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2014-10-15
Last Update Date2014-10-15
Business Address
-- DEANTWANN JOHNSON
1126 W FOOTHILL BLVD SUITE 150
UPLAND, CA 91786-3768
Phone number: 909-982-8641
Mailing Address
-- DEANTWANN JOHNSON
1170 N SAN ANTONIO AVE
POMONA, CA 91767-4104
Phone number: 909-446-9440