MS. Jessica Ann Johnson, LMP

NPI #1053692442 in Spokane, Washington

Provider Information

NPI Number: 1053692442
Entity Type: Individual
Name: MS. Jessica Ann Johnson, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMP
Enumeration Date: Aug 30, 2011
Last Updated: Nov 15, 2012

Practice Location

Address: 628 S MAPLE ST
Address 2: SUITE B
City: Spokane
State: Washington
ZIP Code: 99204-3445
Phone: (509) 979-9019

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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