NPI 1134365992

Karen Denice Johnson

Practitioner Lodging Provider Oakland, CA

Practice location

Address: 2577 San Pablo Ave, Oakland, CA 94612-1159
Phone: (510) 446-7186
Fax: (510) 832-0609

Registered specialties

Lodging Provider Primary

Other Service Providers Taxonomy 177F00000X

Other Lodging providers in California →

Registry record

NPI: 1134365992
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Dec 2008
Record last updated: 29 Dec 2008

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.