Individual
MS. JESSICA ANN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
628 S MAPLE ST, SUITE B, SPOKANE, WA 99204-3445
(509) 979-9019
Mailing address
628 S MAPLE ST, SUITE B, SPOKANE, WA 99204-3445
(509) 979-9019
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 60127280
WA
Other
Enumeration date
08/30/2011
Last updated
11/15/2012
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