Job Desean Johnson
Case Manager/Care Coordinator in Eureka, CA. Individual provider (NPI-1).
NPI number1154887776
StatusActive
Last updated in NPPESFeb 19, 2019
Details
- NPI
- 1154887776
- Entity type
- Individual (NPI-1)
- Name
- Job Desean Johnson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 19, 2019
- Last updated
- Feb 19, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | CA | Yes |
Practice location
720 Wood StEureka, CA 95501-4413
Phone 707-268-2990
Mailing address
1632 17th StEureka, CA 95501-2502
Phone 707-499-0721
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All 491 Case Manager/Care Coordinator providers in Eureka · All 3,243 providers in Eureka
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