Individual provider · Type 1 NPI

Tanesha Johnson

Student in an Organized Health Care Education/Training Program · Long Beach, CA

NPI number 1093354029 Active

Practice location

2101 Magnolia Ave
Long Beach, CA 90806-4521

Call (562) 218-1868 Map

Mailing address

2121 Long Beach Blvd Apt 2
Long Beach, CA 90806-4854

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1093354029

Tanesha Johnson's National Provider Identifier is 1093354029, issued on Dec 20, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Long Beach, CA. The record was last updated on Dec 20, 2019.