Individual
JOHN WAYNE HOUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
212 WELLS AVE S STE 103, RENTON, WA 98057-2142
(925) 698-9002
Mailing address
339 BURNETT AVE S APT 311, RENTON, WA 98057-7510
(925) 698-9002
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
MC60318778
WA
Other
Enumeration date
07/13/2017
Last updated
07/13/2017
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