Individual
ANALISA JOHANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13208 NE VILLAGE GREEN DR, VANCOUVER, WA 98684-6866
(360) 440-9491
Mailing address
13208 NE VILLAGE GREEN DR, VANCOUVER, WA 98684-6866
(360) 440-9491
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
756640
WA
Other
Enumeration date
09/01/2023
Last updated
09/01/2023
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