Jessica Ann Johnson LMP

NPI 1053692442 - Specialist - 174400000X

NPI Details
NPI 1053692442
Gender Female
Enumeration Date 08/30/2011
Last Updated 11/15/2012
Entity Type Individual
Active Over 5 years ago
Practice Location
628 S MAPLE ST
SUITE B
SPOKANE WA, 99204-3445, US
Phone (509) 979-9019
Fax
Business Location
628 S MAPLE ST
SUITE B
SPOKANE WA, 99204-3445, US
Phone (509) 979-9019
Fax
Toxanomy
Taxonomy Code 174400000X
License State Washington
License Number MA 60127280
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According to our database, Ms. Jessica Ann Johnson LMP NPI is 1053692442, taxonomy code is 174400000X and license number is MA 60127280, license state is located at Washington. Jessica Ann Johnson LMP physically located at 628 S Maple St, Spokane WA, 99204-3445. NPI Number Jessica Ann Johnson LMP has the Individual type.

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1053692442 NPI number is provided on an as is basis without warranty of any kind. 1053692442 is maintained by the National Plan & Provider Enumeration System. The contents of Jessica Ann Johnson LMP are for informational purposes only.