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Rudolph Johnson, CATC1
NPI 1124579545 · on the registry since 2016 · sole proprietor
Practice
- Address
- 6537 Reflection Dr Apt 105
San Diego, CA 92124 - Phone
- (619) 727-7797
Registry record
- Primary taxonomy
- 324500000X
324500000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-10-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California