Individual
BREANNA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
21851 84TH AVE S STE 101, KENT, WA 98032-1958
(253) 372-8297
Mailing address
1717 COOPER POINT RD SW APT B12, OLYMPIA, WA 98502-5768
(619) 254-7245
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
60955855
WA
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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