LARRY WAYNE JOHNSON

SAN DIEGO, CA
NPI1396983888
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
(Licence: CA  CO2834)
Enumeration Date2009-01-22
Last Update Date2009-01-22
Business Address
Mr. LARRY WAYNE JOHNSON C.O.
9570 RIDGEHAVEN CT SUITE C
SAN DIEGO, CA 92123-1667
Phone number: 858-278-0518
Mailing Address
Mr. LARRY WAYNE JOHNSON C.O.
10723 MONTEGO DR
SAN DIEGO, CA 92124-1910
Phone number: 858-565-2230
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