MARK ANTHONY JOHNSON

SACRAMENTO, CA
NPI1467647008
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: CA  142887)
Enumeration Date2007-09-06
Last Update Date2007-09-06
Business Address
Mr. MARK ANTHONY JOHNSON LVN
2345 IVY VINE WAY
SACRAMENTO, CA 95833-9785
Phone number: 916-955-1703
Mailing Address
Mr. MARK ANTHONY JOHNSON LVN
2345 IVY VINE WAY
SACRAMENTO, CA 95833-9785
Phone number: 916-955-1703