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

PRINCESS JOHNSON JR.

Active Sole Proprietor

PRINCESS JOHNSON JR. is a 376G00000X healthcare provider located in GALT, California. NPI 1912300922 is currently active in the NPPES registry. Verify at CMS.

376G00000X · GALT, CA

Registration Details

NPI Number
1912300922
Provider Type
Individual
Gender
Female
NPI Issued
Oct 4, 2014 (11.894389636511 yrs)
Last Updated
Oct 4, 2014
Licenses
347005264 (CA)
00648092 (CA)
Sole Proprietor
Yes

Practice Information

Address
407 MAPLE ST
GALT, CA, 956322048
Browse CA providers · Browse ZIP 95632
Phone
9168212391
Fax
2099124141
Primary Specialty
376G00000X
376G00000X
Additional Specialty
Nurse's Aide
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.