Individual
MRS. SIMONNE CHANTAL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
5775 SOUNDVIEW DR, SUITE B103, GIG HARBOR, WA 98335-2211
(253) 853-7956
Mailing address
3518 79TH AVE W, UNIVERSITY PLACE, WA 98466-3914
(253) 460-0602
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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