JEROME A JOHNSON

MODESTO, CA
NPI1699390989
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2020-06-11
Last Update Date2020-06-11
Business Address
JEROME A JOHNSON
100 POPLAR AVE
MODESTO, CA 95354-0510
Phone number: 209-324-2589
Mailing Address
JEROME A JOHNSON
100 POPLAR AVE
MODESTO, CA 95354-0510
Phone number: 209-324-2589