Desmond R Johnson Valid NPI
Individual provider · Surgical Technologist · Modesto, CA
- NPI
- 1629260914
- Type
- Individual (Type 1)
- Primary specialty
- Surgical Technologist (Specialist/Technologist, Other)
- Specialty group
- Technologists, Technicians & Other Technical Service Providers
- Taxonomy code
- 246ZS0410X
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-08-10
- Last updated
- 2007-08-10
Practice location
1441 Florida Ave
Modesto, CA 95350-4405
(209) 578-1211