IndividualActive
Alvincent Johnson
NPI 1043069685 · Contractor · Fairfield, CA
Provider details
- NPI number
- 1043069685
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Mailing address
997 Laurel Creek Way
Fairfield, CA 94533-7066
Registry dates
- Enumerated
- 2024-05-15
- Last updated
- 2024-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.