Individual
LARISSA JASMINE CORINNA JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4831 35TH AVE SW, SEATTLE, WA 98126-2709
(206) 937-3700
Mailing address
4831 35TH AVE SW, SEATTLE, WA 98126-2709
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NC61313699
WA
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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