Autumn Jean Johnson
Autumn Jean Johnson is a Student in an Organized Health Care Education/Training Program in Oakland, California. Licensed in California. Registered with an NPI since 2022.
- Licensed in
- CA
- In the registry since
- 2022
Practice location Address checks out
166 Santa Clara Ave Ste 205Oakland, CA 94610-1323
Phone: (510) 601-1929
Fax: (510) 601-1947
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (CA) |
|---|
Record details
| NPI number | 1902551401 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 14, 2022 |
| Last updated in NPPES | September 26, 2025 |
| Certification date | September 26, 2025 |
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