PENNY JOHANSEN

ISSAQUAH, WA
NPI1720512577
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: WA  CAAR.cg.60542450)
Enumeration Date2017-04-19
Last Update Date2017-04-19
Business Address
-- PENNY JOHANSEN
5436 232ND AVE SE
ISSAQUAH, WA 98029
Phone number: 206-380-3009
Mailing Address
-- PENNY JOHANSEN
5436 232ND AVE SE
ISSAQUAH, WA 98029-6220
Phone number: 206-380-3009