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Individual

MARLA JOHANESEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
2334 LUMMI VIEW DR, BELLINGHAM, WA 98226-9277
(360) 758-4369
Mailing address
6067 GUIDE MERIDIAN, BELLINGHAM, WA 98226-9751
(360) 483-6942

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN60578829
WA

Other

Enumeration date
05/28/2019
Last updated
05/28/2019
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