FANTASIA NICOLE JOHNSON

CITRUS HEIGHTS, CA
NPI1841767878
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2018-10-29
Last Update Date2018-10-29
Business Address
Miss FANTASIA NICOLE JOHNSON
6400 TUPELO DR # A
CITRUS HEIGHTS, CA 95621-1741
Phone number: 916-912-6808
Mailing Address
Miss FANTASIA NICOLE JOHNSON
4845 MARY KATE DR # A
SACRAMENTO, CA 95841-2532
Phone number: 916-912-6808