Individual
TATYANA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.A.C
Contact information
Practice address
903 5TH AVE STE 102, KIRKLAND, WA 98033-6348
(425) 785-1817
Mailing address
19426 79TH CT NE, KENMORE, WA 98028-2077
(425) 785-1817
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC60297602
WA
174400000X
Specialist
MA 60201097
WA
Other
Enumeration date
03/28/2011
Last updated
03/17/2018
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