Individual
ANGELINE MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1370 BRIDGE ST, CLARKSTON, WA 99403-2332
(509) 758-2568
(509) 758-3413
Mailing address
1129 12TH ST, CLARKSTON, WA 99403-2535
(208) 791-8386
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN00127806
WA
Other
Enumeration date
12/27/2024
Last updated
12/27/2024
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