WAVERLY JOHNSON

LOS ANGELES, CA
NPI1639415235
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy174H00000X Health Educator
Enumeration Date2012-12-31
Last Update Date2012-12-31
Business Address
Mr. WAVERLY JOHNSON
1726 E. 117TH ST.
LOS ANGELES, CA 90059
Phone number: 323-566-1965
Mailing Address
Mr. WAVERLY JOHNSON
6002 5TH AVE
LOS ANGELES, CA 90043-4212
Phone number: 323-778-0223