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JESSICA MARIE JOHNSON AUD
>> Audiologist >> Speech, Language and Hearing Service ProvidersRegistrant NPI Number: 1003335423
Individual Registrant: JESSICA MARIE JOHNSON AUD
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
5342 DUDLEY BLVD # 95652 MCCLELLAN, CA 95652-1012 US
Tel: 916-561-7400 Fax: --
Tel: 916-561-7400 Fax: --
Contact information for business:
5342 DUDLEY BLVD # 95652 MCCLELLAN, CA 95652-1012 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1003335423
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 231H00000X | Speech, Language and Hearing Service Providers Audiologist | MT | SLP-AU-LIC-6628 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
