Individual
RYAN D JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1225 MEADE AVE, PROSSER, WA 99350-1423
(509) 307-3217
Mailing address
1225 MEADE AVE, PROSSER, WA 99350-1423
(509) 307-3217
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DN00000466
WA
Other
Enumeration date
09/17/2007
Last updated
09/17/2007
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