SearchWashington363LF0000X

Andrea Johansen

NPI 1720764731 · on the registry since 2023 · sole proprietor

Practice

Address
20618 142nd Ave Se
Kent, WA 98042
Phone
(415) 891-5110

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-08-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington