Individual
MS. KATHI D JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1720 S 72ND ST STE 102, TACOMA, WA 98408-1297
(253) 472-4424
Mailing address
1720 S 72ND ST STE 102, TACOMA, WA 98408-1297
(253) 472-4424
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA00014477
WA
Other
Enumeration date
06/01/2007
Last updated
07/08/2007
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