| NPI Details | |
|---|---|
| NPI | 1023276086 |
| Gender | Female |
| Enumeration Date | 05/27/2008 |
| Last Updated | 02/24/2009 |
| Entity Type | Individual |
| Active | Over 9 years ago |
| Practice Location | |
|---|---|
| 904 S 16TH ST MOUNT VERNON WA, 98274-4516, US |
|
| Phone | (360) 424-0755 |
| Fax | |
| Business Location | |
|---|---|
| 904 S 16TH ST MOUNT VERNON WA, 98274-4516, US |
|
| Phone | (360) 424-0755 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 225700000X |
| License State | Washington |
| License Number | MA00003980 |
| Remove 1023276086 NPI Number | |
According to our database, Brenda Johnston LMP NPI is 1023276086, taxonomy code is 225700000X and license number is MA00003980, license state is located at Washington. Brenda Johnston LMP physically located at 904 S 16th St, Mount Vernon WA, 98274-4516. NPI Number Brenda Johnston LMP has the Individual type.
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1023276086 NPI number is provided on an as is basis without warranty of any kind. 1023276086 is maintained by the National Plan & Provider Enumeration System. The contents of Brenda Johnston LMP are for informational purposes only.
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