Most Relevant Information
Provider Data
| NPI Number: | 1003538398 |
| Provider Name: | JACQUELINE JOHNSON |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/14/2022 |
| Last Updated: | 08/20/2024 |
Provider Practice Location
3200 LONG BEACH BLVD
LONG BEACH
CA
908075062
Practice Location Phone/Fax
| Phone: | 5625486500 |
| Fax: |
Provider Mailing Location
3200 LONG BEACH BLVD
LONG BEACH
CA
908075062
Provider Mailing Phone/Fax
| Phone: | 5625486500 |
| Fax: |