Brooke Elizabeth Johnson, LMP

NPI #1396893483 in Eatonville, Washington

Provider Information

NPI Number: 1396893483
Entity Type: Individual
Name: Brooke Elizabeth Johnson, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMP
Enumeration Date: Jan 8, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 34321 32 AVE E
City: Eatonville
State: Washington
ZIP Code: 98328
Phone: (253) 722-3162

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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