MICHAEL JOHNSON

SAN DIEGO, CA
NPI1912535493
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2020-03-30
Last Update Date2020-04-02
Business Address
MICHAEL JOHNSON IDC
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-7000
Phone number: 281-795-0620
Mailing Address
MICHAEL JOHNSON IDC
17768 SENECA SPGS
COLLEGE STATION, TX 77845-3564
Phone number:
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