JEFFREY A JOHNSON

WALLA WALLA, WA
NPI1114914702
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1744P3200X Specialist, Prosthetics Case Management
(Licence: WA  PS00000038)
Enumeration Date2005-09-29
Last Update Date2008-07-10
Business Address
Mr. JEFFREY A JOHNSON LCPO
919 W MAIN ST
WALLA WALLA, WA 99362-2746
Phone number: 509-525-8322
Mailing Address
Mr. JEFFREY A JOHNSON LCPO
PO BOX 662
WALLA WALLA, WA 99362-0016
Phone number: 509-525-8322
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