Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | G14550 | CA |
NPI | 1013259571 |
---|---|
Provider Name | Dr. Rosemarie Marshall Johnson |
First Address | San Diego, CA 92103-5529 |
Second Address | San Diego, CA 92103-5529 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2013 |
Last Update Date | 22/03/2013 |