Individual
ANDREW LOREN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MERCHANT CORPSMAN
Contact information
Practice address
111 W. HARRISON ST, SEATTLE, WA 98119
(206) 286-8584
(203) 346-6592
Mailing address
111 W. HARRISON ST, SEATTLE, WA 98119
(206) 286-8584
(203) 346-6592
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
B0305588
TX
Other
Enumeration date
01/03/2008
Last updated
01/25/2008
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