OCTAVIO DESHOUN JOHNSON

LOS ANGELES, CA
NPI1770189201
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2020-12-09
Last Update Date2020-12-09
Business Address
Mr. OCTAVIO DESHOUN JOHNSON
5849 CROCKER ST
LOS ANGELES, CA 90003-1311
Phone number: 323-432-4399
Mailing Address
Mr. OCTAVIO DESHOUN JOHNSON
5849 CROCKER ST
LOS ANGELES, CA 90003-1311
Phone number: 323-432-4399
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