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Ivan Johnson
NPI 1245050277 · on the registry since 2024 · sole proprietor
Practice
- Address
- Po Box 9212
Fresno, CA 93791 - Phone
- (209) 261-9991
Registry record
- Primary taxonomy
- Driver
172A00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-15
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