JEREMIAH VINCENT JOHNSEN

SAN DIEGO, CA
NPI1710332614
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2016-04-28
Last Update Date2016-04-28
Business Address
-- JEREMIAH VINCENT JOHNSEN B.S.
2535 KETTNER BLVD STE 1A4
SAN DIEGO, CA 92101-1252
Phone number: 619-615-0701
Mailing Address
-- JEREMIAH VINCENT JOHNSEN B.S.
2535 KETTNER BLVD STE 1A4
SAN DIEGO, CA 92101-1252
Phone number: