NPI 1043069685

Alvincent Ramone Johnson

Practitioner Contractor Fairfield, CA

Practice location

Address: 997 Laurel Creek Way, Fairfield, CA 94533-7066
Phone: (707) 342-9368

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1043069685
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 May 2024
Record last updated: 15 May 2024

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.