NPI 1245050277

Ivan Johnson

Practitioner Driver Fresno, CA

Practice location

Address: PO Box 9212, Fresno, CA 93791-9212
Phone: (209) 261-9991

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 462930 (CA)

Other Driver providers in California →

Registry record

NPI: 1245050277
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Oct 2024
Record last updated: 15 Oct 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.