Individual
ALICIA KOCH-JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14826 42ND AVE S, TUKWILA, WA 98168-4436
(206) 795-8307
Mailing address
14826 42ND AVE S, TUKWILA, WA 98168-4436
(206) 795-8307
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
OC60562527
WA
Other
Enumeration date
04/28/2015
Last updated
04/28/2015
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