DARRELL ELLISON JOHNSON

RIVERSIDE, CA
NPI1932829769
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: CA  95222348)
Enumeration Date2022-08-31
Last Update Date2023-11-15
Business Address
DARRELL ELLISON JOHNSON
7875 RAINCROSS CT
RIVERSIDE, CA 92507-0011
Phone number: 773-680-2966
Mailing Address
DARRELL ELLISON JOHNSON
7875 RAINCROSS CT
RIVERSIDE, CA 92507-0011
Phone number: 773-680-2966
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