Search › California › 171W00000X
Russell Johnson
NPI 1659782787 · on the registry since 2014 · sole proprietor
Practice
- Address
- 11629 Sueno Ct.
Fontana, CA 92337 - Phone
- (323) 801-9208
Registry record
- Primary taxonomy
- 171W00000X
171W00000X
- Sex
- Male
- Record last updated
- 2014-05-12
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