Deantwann Johnson
Deantwann Johnson is a Community Health Worker in Upland, California. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
1126 W Foothill Blvd Ste 150Upland, CA 91786-3768
Phone: (909) 982-8641
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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 | 1164826400 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 15, 2014 |
| Last updated in NPPES | October 15, 2014 |
| Mailing address | 1170 N San Antonio Ave, Pomona, CA 91767-4104 |
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