Sharon Beulah Johnson, | |
1307 W 184th St, Gardena, CA 90248-4017 | |
(310) 817-4475 | |
(310) 817-4475 |
Full Name | Sharon Beulah Johnson |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 1307 W 184th St, Gardena, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265710461 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 170572 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Sharon Beulah Johnson, 1307 W 184th St, Gardena, CA 90248-4017 Ph: (310) 817-4475 | Sharon Beulah Johnson, 1307 W 184th St, Gardena, CA 90248-4017 Ph: (310) 817-4475 |
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