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Individual

VELMA JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMP, CM, CDP, CPE

Contact information

Practice address
404 BRADLEY BLVD STE 204, RICHLAND, WA 99352-4500
(509) 947-9442
Mailing address
3517 ROAD 84 TRLR 128B, PASCO, WA 99301-1666
(509) 947-9442

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
CP00004233
WA
225700000X
Massage Therapist
MA00000815
WA
247200000X
Other Technician
Primary

Other

Enumeration date
10/27/2006
Last updated
12/31/2020
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