Mr. Russell Laroy Johnson
Mr. Russell Laroy Johnson is a Contractor in Fontana, California. Practices as a sole proprietor. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
11629 Sueno CtFontana, CA 92337
Phone: (323) 801-9208
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Contractor (primary) | Taxonomy 171W00000X |
|---|
Record details
| NPI number | 1659782787 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 12, 2014 |
| Last updated in NPPES | May 12, 2014 |
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