DELISHA M JOHNSON

PORT ORCHARD, WA
NPI1114030566
Former NameDELISHA DURHAM
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WA  PA10004048)
Enumeration Date2006-08-17
Last Update Date2011-02-09
Business Address
-- DELISHA M JOHNSON PAC
320 S KITSAP BLVD
PORT ORCHARD, WA 98366-3778
Phone number: 360-876-7215
Mailing Address
-- DELISHA M JOHNSON PAC
PO BOX 960
BREMERTON, WA 98337
Phone number: 360-478-2366
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