Individual
MS. DEANNA VICTORIA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
9602 SE 7TH ST, VANCOUVER, WA 98664-3522
(360) 606-1185
Mailing address
9602 SE 7TH ST, VANCOUVER, WA 98664-3522
(360) 606-1185
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA600349296
WA
Other
Enumeration date
04/21/2009
Last updated
04/21/2009
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