Individual
DESIREE A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
44 E COZZA DR, SPOKANE, WA 99208-6514
(509) 325-6800
Mailing address
44 E COZZA DR, SPOKANE, WA 99208-6514
(509) 325-6800
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN00173212
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2077844
—
WA
Enumeration date
04/15/2020
Last updated
04/15/2020
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