Individual
ZOE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
908 S 5TH ST, APT 4, TACOMA, WA 98405-4251
(206) 280-0355
Mailing address
908 S 5TH ST, APT 4, TACOMA, WA 98405-4251
(206) 280-0355
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00014250
WA
Other
Enumeration date
08/01/2008
Last updated
08/01/2008
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