JOHN RICHARD JOHNSON

VICTORVILLE, CA
NPI1720813819
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
(Licence: CA  C15BF-07-08-E-24-009)
Enumeration Date2024-09-06
Last Update Date2024-09-06
Business Address
JOHN RICHARD JOHNSON
15497 W SAND ST
VICTORVILLE, CA 92392-2910
Phone number: 442-327-9311
Mailing Address
JOHN RICHARD JOHNSON
15497 W SAND ST
VICTORVILLE, CA 92392-2910
Phone number: 442-327-9311