Individual provider · Type 1 NPI

Damaria Antionette Johnson

Driver · San Marcos, CA

NPI number 1508476730 Active

Practice location

1215 Armorlite Dr Apt 120
San Marcos, CA 92069-1397

Mailing address

960 Postal Way # 1690
Vista, CA 92083-6915

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XF4286983 (CA)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1508476730

Damaria Antionette Johnson's National Provider Identifier is 1508476730, issued on Aug 3, 2020. The primary taxonomy on file is Driver (172A00000X), and the practice location is in San Marcos, CA. The record was last updated on Aug 3, 2020.