Individual
CARLA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1206 N DOLARWAY RD, SUITE # 211, ELLENSBURG, WA 98926-8392
(509) 925-6869
Mailing address
2106 W CLEARVIEW DR, ELLENSBURG, WA 98926-2331
(509) 899-1959
(509) 933-3658
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00023300
WA
Other
Enumeration date
11/13/2007
Last updated
07/05/2011
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