Mahtob Mae Johnson, IDC
Mahtob Mae Johnson, IDC is an Independent Duty Corpsman in San Diego, California. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
34101 Farenholt AveSan Diego, CA 92134-7000
Phone: (619) 532-9457
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X |
|---|
Record details
| NPI number | 1962798553 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | IDC |
| Sole proprietor | No |
| NPI enumerated | June 22, 2011 |
| Last updated in NPPES | June 22, 2011 |
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