Individual
ELISA JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DH
Contact information
Practice address
508 S 4TH AVE, YAKIMA, WA 98902-3547
(509) 574-6139
(509) 574-6139
Mailing address
501 S 5TH AVE, YAKIMA, WA 98902-3550
(509) 494-6700
(509) 573-6275
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH00005231
WA
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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