Individual
MS. CAMILLE WILMA-SANDRA JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1303 REGENTS BLVD APT D, FIRCREST, WA 98466-6002
(360) 584-4504
Mailing address
1303 REGENTS BLVD APT D, FIRCREST, WA 98466-6002
(360) 584-4504
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60225665
WA
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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