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JESSICA MARIE JOHNSON AUD

>> Audiologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1003335423

Individual Registrant:
 JESSICA MARIE JOHNSON AUD
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: --

Contact information for business:
5342 DUDLEY BLVD # 95652  MCCLELLAN, CA 95652-1012 US
Tel: --  Fax: --

Registration Information:
NPI: 1003335423
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y231H00000XSpeech, Language and Hearing Service Providers
Audiologist
MTSLP-AU-LIC-6628

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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