Individual
LESLIE A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
915 6TH AVE STE 100, TACOMA, WA 98405-4682
(253) 403-7277
Mailing address
6202 N 46TH ST, TACOMA, WA 98407-2001
(253) 227-4716
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP61028216
WA
Other
Enumeration date
01/10/2020
Last updated
01/10/2020
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