COURTNEY LATRICE JOHNSON

SAN DIEGO, CA
NPI1821361361
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2012-02-14
Last Update Date2012-02-14
Business Address
Ms. COURTNEY LATRICE JOHNSON IDC
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-7000
Phone number: 619-947-2500
Mailing Address
Ms. COURTNEY LATRICE JOHNSON IDC
PSC 451 BOX 340
FPO, AE 09834
Phone number: 619-947-2500