JOHANNA RIDDELL

ANACORTES, WA
NPI1417306069
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
(Licence: WA  P160259921)
Enumeration Date2016-06-05
Last Update Date2016-06-05
Business Address
-- JOHANNA RIDDELL PTA
1300 O AVE
ANACORTES, WA 98221-2187
Phone number: 360-419-4699
Mailing Address
-- JOHANNA RIDDELL PTA
2305 HIGHLAND DR
ANACORTES, WA 98221-3143
Phone number: 360-293-7137