Octavia S Johnson

NPI 1104185529 - Counselor - 101YM0800X

NPI Details
NPI 1104185529
Gender Female
Enumeration Date 05/04/2012
Last Updated 05/04/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
790 VIA LATA STE 300
COLTON CA, 92324-3978, US
Phone (909) 433-0445
Fax
Business Location
790 VIA LATA STE 300
COLTON CA, 92324-3978, US
Phone (909) 433-0445
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Octavia S Johnson NPI is 1104185529, taxonomy code is 101YM0800X Octavia S Johnson physically located at 790 Via Lata Ste 300, Colton CA, 92324-3978. NPI Number Octavia S Johnson has the Individual type.

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1104185529 NPI number is provided on an as is basis without warranty of any kind. 1104185529 is maintained by the National Plan & Provider Enumeration System. The contents of Octavia S Johnson are for informational purposes only.