Individual
JACK N JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ND
Contact information
Practice address
5603 38TH AVE NW, GIG HARBOR, WA 98335-8218
(253) 857-5544
Mailing address
5603 38TH AVE NW, GIG HARBOR, WA 98335-8218
(253) 857-5544
(253) 857-9088
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
NT60799742
WA
Other
Enumeration date
10/05/2017
Last updated
04/23/2018
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