Most Relevant Information
Provider Data
| NPI Number: | 1003287012 |
| Provider Name: | ANTHONY JOHNSON |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/16/2015 |
| Last Updated: | 07/23/2018 |
Provider Practice Location
657 E TULARE AVE
VISALIA
CA
93292
Practice Location Phone/Fax
| Phone: | 5596230900 |
| Fax: |
Provider Mailing Location
657 E TULARE AVE
VISALIA
CA
932923651
Provider Mailing Phone/Fax
| Phone: | 5596230900 |
| Fax: |