Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | ND737 | CA |
N | 175L00000X | Homeopath | ND737 | CA |
NPI | 1225416449 |
---|---|
Provider Name | Dr. Rachelle R. Johnson |
First Address | Richmond, CA 94804-3769 |
Second Address | Richmond, CA 94804-3769 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2015 |
Last Update Date | 13/01/2021 |