DAMARIA ANTIONETTE JOHNSON
NPI 1508476730
Driver in San Marcos, CA
Active since August 03, 2020
About Damaria Antionette Johnson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAMARIA ANTIONETTE JOHNSON (NPI 1508476730) is an individual driver provider in San Marcos, California, licensed in California (F4286983) and active in the NPI registry since August 2020.
NPPES Registry Identity
NPI1508476730
Entity TypeIndividualFemale
Primary Taxonomy172A00000X
Provider Legal NameDAMARIA ANTIONETTE JOHNSON
Location Address1215 ARMORLITE DR APT 120San Marcos, CA 92069-1397
Mailing Address960 Postal Way # 1690Vista, CA 92083-6915 · (213) 910-9174
Phone(213) 910-9174
Sole ProprietorNo
Enumeration DateAugust 3, 2020
NPPES CertifiedAugust 3, 2020
✔ NPI 1508476730 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyDriverOther Service Providers
Taxonomy Code172A00000X
License✔ Licensed in CA · F4286983
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
1215 ARMORLITE DR APT 120, San Marcos, CA 92069
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508476730, enumerated as an "individual" on August 03, 2020.
The provider is located at 1215 ARMORLITE DR APT 120 SAN MARCOS, CA 92069 and the phone number is (213) 910-9174.
Driver with taxonomy code 172A00000X.