Johnson, Desmond R

Johnson, Desmond R is an individual health care provider with primary practice located at 1441 Florida Ave , Modesto CA 95350-4405. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, which is considered as his primary health care specialty. Johnson, Desmond R can be contacted via phone (209) 578-1211.

Contact Information

Primary practice address
1441 Florida Ave Modesto CA 95350-4405
Phone: (209) 578-1211
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X

Profile Details

NPI number 1629260914
LBN Legal business name Johnson, Desmond R
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2007
Last updated Aug 10th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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