Individual
AZARIA K DAVIS JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
145 MICHAEL AVE, ENUMCLAW, WA 98022-3753
(206) 388-8895
Mailing address
145 MICHAEL AVE, ENUMCLAW, WA 98022-3753
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60752921
WA
Other
Enumeration date
10/01/2017
Last updated
10/01/2017
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