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La Wanda Johnson, PPS

NPI 1548896848 · on the registry since 2020 · sole proprietor

Practice

Address
962 Trestle Glen Way
Sacramento, CA 95831
Phone
(619) 665-1459

Registry record

Primary taxonomy
103TS0200X
103TS0200X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-03-18

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