person
Mr. Larry Wayne Johnson, CO
Specialist in San Diego, California
NPI 1396983888

Larry Wayne Johnson is a Specialist based in San Diego, CA. Larry Wayne Johnson practices in San Diego, CA and has the professional credentials of CO. The NPI Number for Larry Wayne Johnson is 1396983888 and holds a License No. CO2834 (California).

The current practice location address for Larry Wayne Johnson is 9570 Ridgehaven Ct, San Diego, CA and can be reached out via phone at 858-278-0518 and via fax at 858-278-0323.

Location: 9570 Ridgehaven Ct, San Diego, CA, 92124-1910
person
Provider Profile Details
NPI Number
1396983888
Provider Name
Larry Wayne Johnson
Credential
CO
Provider Entity Type
Individual
Gender
Male
Address
9570 Ridgehaven Ct, San Diego, CA, 92124-1910
Phone Number
858-278-0518
Fax Number
858-278-0323
Provider Enumeration Date
01/22/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9570 Ridgehaven Ct
City
State
Zip
92123-1667
Phone Number
858-278-0518
Fax Number
858-278-0323
person
Provider Business Mailing Address Details
Address
9570 Ridgehaven Ct
City
State
Zip
92123-1667
Phone Number
858-278-0518
Fax Number
858-278-0323
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
CO2834 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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