Individual
JOHANNA LANDINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1608 S J ST FL 3, TACOMA, WA 98405-4930
(253) 274-7503
Mailing address
1608 S J ST FL 3, TACOMA, WA 98405-4930
(253) 274-7503
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD60818085
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2105443
—
WA
Enumeration date
08/04/2013
Last updated
12/07/2020
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