Johnson, Fawntasia

Johnson, Fawntasia is an sole proprietor health care provider with primary practice located at 160 E Holt Ave B, Pomona CA 91767-5406. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Johnson, Fawntasia can be contacted via phone (909) 620-2521.

Contact Information

Primary practice address
160 E Holt Ave B Pomona CA 91767-5406
Phone: (909) 620-2521
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1366812505
LBN Legal business name Johnson, Fawntasia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 30th, 2015
Last updated Sep 30th, 2015 - about 11 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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