Individual
HEIDE A JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3629 S D ST, TACOMA, WA 98418-6813
(253) 649-1574
(253) 649-1381
Mailing address
3629 S D ST, TACOMA, WA 98418-6813
(253) 649-1574
(253) 649-1381
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
61426282
WA
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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