Johnson, Jessica Nicole

Johnson, Jessica Nicole is an individual health care provider with primary practice located at 1891 N Gaffey St Suite 221, San Pedro CA 90731-1267. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as her primary health care specialty. Johnson, Jessica Nicole can be contacted via phone (424) 570-0241.

Contact Information

Primary practice address
1891 N Gaffey St Suite 221 San Pedro CA 90731-1267
Phone: (424) 570-0241
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X California

Profile Details

NPI number 1063809218
LBN Legal business name Johnson, Jessica Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2015
Last updated Sep 8th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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