JERVONNE LANEE JOHNSON

LOS ANGELES, CA
NPI1861169252
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95018172)
Enumeration Date2021-08-24
Last Update Date2024-05-15
Business Address
JERVONNE LANEE JOHNSON
5901 W CENTURY BLVD STE 750
LOS ANGELES, CA 90045-5443
Phone number: 888-880-3451
Mailing Address
JERVONNE LANEE JOHNSON
30 PALATINE APT 338
IRVINE, CA 92612-8864
Phone number: 213-304-6050
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