Individual provider · Type 1 NPI

Breyonna Johnson

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

NPI number 1235650896 Active

Practice location

39155 Liberty St
Fremont, CA 94538-1513

Mailing address

25200 Carlos Bee Blvd Apt 407
Hayward, CA 94542-1546

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 1235650896

Breyonna Johnson's National Provider Identifier is 1235650896, issued on Jul 4, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fremont, CA. The record was last updated on Jul 4, 2017.