Individual
MADELYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
910 W 5TH AVE, SPOKANE, WA 99204-2966
(509) 755-5120
Mailing address
12606 E MISSION AVE, SPOKANE VALLEY, WA 99216-3421
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/13/2024
Last updated
06/21/2024
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