FAWNTASIA JOHNSON

POMONA, CA
NPI1366812505
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2015-09-30
Last Update Date2015-09-30
Business Address
FAWNTASIA JOHNSON
160 E HOLT AVE B
POMONA, CA 91767-5406
Phone number: 909-620-2521
Mailing Address
FAWNTASIA JOHNSON
160 E HOLT AVE B
POMONA, CA 91767-5406
Phone number: 909-620-2521