DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. WANDA JOHNSON

Active Sole Proprietor

MRS. WANDA JOHNSON is a 1744R1103X healthcare provider located in RIDGECREST, California. NPI 1538212360 is currently active in the NPPES registry. Verify at CMS.

1744R1103X · RIDGECREST, CA

Registration Details

NPI Number
1538212360
Provider Type
Individual
Gender
Female
NPI Issued
Jan 18, 2007 (19.60551774237 yrs)
Last Updated
Jul 12, 2007
Sole Proprietor
Yes

Practice Information

Address
1400 N NORMA ST
SUITE 133
RIDGECREST, CA, 935552575
Browse CA providers · Browse ZIP 93555
Phone
7604997406
Fax
7604997479
Primary Specialty
1744R1103X
1744R1103X

Other 1744R1103X Providers in RIDGECREST, CA

Name Credential NPI
STACEY ELIZABETH GRAYBILL 1770635013
MRS. LORI KAY BLOWERS 1861547549
MS. MICHELE DENISE GUEMES 1467623579
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.