Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Fawntasia Johnson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1366812505

Fawntasia Johnson is a Student in an Organized Health Care Education/Training Program in Pomona, California. Practices as a sole proprietor. Registered with an NPI since 2015.

In the registry since
2015
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Practice location Address checks out

160 E Holt Ave B
Pomona, CA 91767-5406
Phone: (909) 620-2521
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1366812505
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 30, 2015
Last updated in NPPESSeptember 30, 2015

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