Individual
MARK DANIEL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
19215 32ND AVE NE, LAKE FOREST PARK, WA 98155-2525
(206) 937-6079
Mailing address
19215 32ND AVE NE, LAKE FOREST PARK, WA 98155-2525
(206) 937-6079
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
190
WA
Other
Enumeration date
06/21/2010
Last updated
06/21/2010
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