Desmond R Johnson

NPI 1629260914 - Specialist/Technologist, Other - 246ZS0410X

NPI Details
NPI 1629260914
Gender Male
Enumeration Date 08/10/2007
Last Updated 08/10/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1441 FLORIDA AVE
MODESTO CA, 95350-4405, US
Phone (209) 578-1211
Fax
Business Location
3400 COFFEE RD
APT 262
MODESTO CA, 95355, US
Phone (316) 806-7508
Fax (209) 342-3237
Toxanomy
Taxonomy Code 246ZS0410X
License State
License Number
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According to our database, Desmond R Johnson NPI is 1629260914, taxonomy code is 246ZS0410X Desmond R Johnson physically located at 1441 Florida Ave, Modesto CA, 95350-4405. NPI Number Desmond R Johnson has the Individual type.

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1629260914 NPI number is provided on an as is basis without warranty of any kind. 1629260914 is maintained by the National Plan & Provider Enumeration System. The contents of Desmond R Johnson are for informational purposes only.