Individual
BETINA CLAUDIA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1122 N 115TH ST APT B212, SEATTLE, WA 98133-8355
(425) 327-1976
Mailing address
1122 N 115TH ST APT B212, SEATTLE, WA 98133-8355
(425) 327-1976
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
MC11044
WA
Other
Enumeration date
04/23/2021
Last updated
04/23/2021
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