MAHTOB MAE JOHNSON

SAN DIEGO, CA
NPI1962798553
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2011-06-22
Last Update Date2011-06-22
Business Address
-- MAHTOB MAE JOHNSON IDC
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-7000
Phone number: 619-532-9457
Mailing Address
-- MAHTOB MAE JOHNSON IDC
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-7000
Phone number: