De'Shane Johnson
De'Shane Johnson is a Community Health Worker in Oakland, California. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
1700 Broadway # 500Oakland, CA 94612-2141
Phone: (510) 273-4200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X |
|---|
Record details
| NPI number | 1790491785 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 24, 2023 |
| Last updated in NPPES | January 24, 2023 |
| Certification date | January 24, 2023 |
| Mailing address | 5674 Stoneridge Dr, Pleasanton, CA 94588-8500 |
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