MR. Ricky C Johnson

NPI #1073050134 in Las Vegas, Nevada

Provider Information

NPI Number
1073050134
Entity Type
Individual
Name
MR. Ricky C Johnson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community/Behavioral Health
Enumeration Date
Jan 27, 2017
Last Updated
Jan 27, 2017

Practice Location

Address
1200 S TORREY PINES DR
Address 2
APT 156
State
Nevada
ZIP Code
89146-1013
Phone
(702) 769-2313

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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