Johnson, Tialicka Burgos
Johnson, Tialicka Burgos is an individual health care provider with primary practice located at 101 Bodin Cir , Travis Afb CA 94535-1809. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Johnson, Tialicka Burgos can be contacted via phone (707) 423-5311.Contact Information
Primary practice address
101 Bodin Cir
Travis Afb CA 94535-1809
Phone: (707) 423-5311
Fax: (707) 423-4356
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | 24176717 | Virginia |
Profile Details
| NPI number | 1891159463 |
|---|---|
| LBN Legal business name | Johnson, Tialicka Burgos |
| Credentials | RNC-OB |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2016 |
| Last updated | Nov 17th, 2021 - about 3 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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