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Search › Washington › 208000000X

Nicole Johnson

NPI 1992961254 · on the registry since 2008 · sole proprietor

Practice

Address
10510 Gravelly Lake Dr Sw
Lakewood, WA 98499
Phone
(253) 589-7030
Fax
(253) 589-7033
Organisation at this address
Community Health Care
Community Health Care
Metropolitan Development Council
Inferred from a shared address, not stated in the registry.
Clinicians at this address
32

Registry record

Primary taxonomy
208000000X
208000000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-12-07

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