LIBRE JOHNSON

SANTA ROSA, CA
NPI1770683658
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  A76860)
Additional Taxonomies207Q00000X Family Medicine
(Licence: NC  2003-01001)
Enumeration Date2006-09-22
Last Update Date2023-01-25
Business Address
DR. LIBRE JOHNSON M.D.
2240 MERCURY WAY FL 3
SANTA ROSA, CA 95407-5413
Phone number: 707-570-3303
Mailing Address
DR. LIBRE JOHNSON M.D.
2240 MERCURY WAY FL 3
SANTA ROSA, CA 95407-5413
Phone number: 707-570-3303