Individual
KIRSTEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9405 218TH PL SW, EDMONDS, WA 98020-3947
(206) 406-2021
(800) 406-7436
Mailing address
9405 218TH PL SW, EDMONDS, WA 98020-3947
(206) 406-2021
(800) 406-7436
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
603-015-722
WA
Other
Enumeration date
06/30/2010
Last updated
06/30/2010
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