Individual
RENE LAWRENCE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1708 YAKIMA AVE, TACOMA, WA 98405-5307
(831) 334-7966
Mailing address
1802 YAKIMA AVE STE 304, TACOMA, WA 98405-5305
(253) 627-1244
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/23/2023
Last updated
09/20/2024
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