Individual
BRENDA CHARLENE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
22739 SE 29TH ST, SAMMAMISH, WA 98075-9532
(425) 392-4010
(425) 392-4011
Mailing address
22739 SE 29TH ST, SAMMAMISH, WA 98075-9532
(425) 392-4010
(425) 392-4011
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60172762
WA
Other
Enumeration date
09/28/2010
Last updated
09/28/2010
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