Individual
DAVID JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1319 NE 134TH ST STE 103, VANCOUVER, WA 98685-2718
(360) 574-3141
Mailing address
1319 NE 134TH ST SUITE 103, VANCOUVER, WA 98685
(360) 574-3141
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 00022224
WA
Other
Enumeration date
11/13/2014
Last updated
11/13/2014
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