MYCHAL DWAYNE JOHNSON

LOS ANGELES, CA
NPI1508502295
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2022-05-06
Last Update Date2022-05-06
Business Address
MYCHAL DWAYNE JOHNSON
5715 S BROADWAY
LOS ANGELES, CA 90037-4131
Phone number: 323-432-4399
Mailing Address
MYCHAL DWAYNE JOHNSON
5849 CROCKER ST
LOS ANGELES, CA 90003-1311
Phone number:
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