NPI 1023556255
Amanda Johnson
Practice location
- Address
- 1442 Valota Rd, Redwood City, CA 94061-2620
- Phone
- (650) 863-7825
Registered specialties
Mental Illness Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1023556255
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 8 Feb 2017
- Record last updated
- 8 Feb 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.