Individual
ANNETTE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P
Contact information
Practice address
1481 BILL AVE, PORT ORCHARD, WA 98366-2450
(360) 551-3602
Mailing address
1481 BILL AVE, PORT ORCHARD, WA 98366-2450
(360) 551-3602
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00024373
WA
Other
Enumeration date
05/27/2010
Last updated
05/27/2010
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