MR. Cleve A Johnson III

NPI #1417411943 in Beaumont, California

Provider Information

NPI Number: 1417411943
Entity Type: Individual
Name: MR. Cleve A Johnson III
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Driver
Enumeration Date: Jan 29, 2019
Last Updated: Jan 29, 2019

Practice Location

Address: 1209 SYRINGA CT
City: Beaumont
State: California
ZIP Code: 92223-8459
Phone: (909) 223-8226

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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