Individual
ANDREA MAYA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, CPM, MA
Contact information
Practice address
13236 111TH CT NE, KIRKLAND, WA 98034-5306
(206) 240-9238
Mailing address
13236 111TH CT NE, KIRKLAND, WA 98034-5306
(206) 240-9238
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW60805661
WA
Other
Enumeration date
02/13/2018
Last updated
07/21/2022
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