Mychal Dwayne Johnson
Mychal Dwayne Johnson is a Community Health Worker in Los Angeles, California. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
5715 S BroadwayLos Angeles, CA 90037-4131
Phone: (323) 432-4399
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Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X |
|---|
Record details
| NPI number | 1508502295 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 6, 2022 |
| Last updated in NPPES | May 6, 2022 |
| Certification date | May 6, 2022 |
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