Individual
CARAN S JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6108 NE HIGHWAY 99 STE 103, VANCOUVER, WA 98665-8751
(360) 718-1343
Mailing address
405 NE 85TH ST UNIT B, VANCOUVER, WA 98665-8043
(360) 718-1343
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60629296
WA
Other
Enumeration date
04/29/2019
Last updated
12/29/2022
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