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Dr. Betsy Johnson
Student in an Organized Health Care Education/Training Program in Santa Rosa, California
NPI 1750084240

Betsy Johnson is a Student in an Organized Health Care Education/Training Program based in Santa Rosa, CA. Betsy Johnson practices in Santa Rosa, CA. The NPI Number for Betsy Johnson is 1750084240 and holds a License No. (California).

The current practice location address for Betsy Johnson is 5142 Santa Rosa Creek Dr, Santa Rosa, CA and can be reached out via phone at 630-456-2516.

Location: 5142 Santa Rosa Creek Dr, Santa Rosa, CA, 95409-4275
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750084240
Provider Name
Betsy Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
5142 Santa Rosa Creek Dr, Santa Rosa, CA, 95409-4275
Phone Number
630-456-2516
Fax Number
Provider Enumeration Date
03/23/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5142 Santa Rosa Creek Dr
City
Santa Rosa
State
California
Zip
95409-4275
Phone Number
630-456-2516
Fax Number
person
Provider Business Mailing Address Details
Address
5142 Santa Rosa Creek Dr
City
Santa Rosa
State
California
Zip
95409-4275
Phone Number
630-456-2516
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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