NICOLE JANINE JOHNSON

LAKEWOOD, WA
NPI1992961254
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy208000000X Pediatrics
(Licence: IL  125-055020)
Enumeration Date2008-08-05
Last Update Date2015-12-07
Business Address
Dr. NICOLE JANINE JOHNSON
10510 GRAVELLY LAKE DR SW
LAKEWOOD, WA 98499-5036
Phone number: 253-589-7030
Mailing Address
Dr. NICOLE JANINE JOHNSON
1019 PACIFIC AVE STE. 300
TACOMA, WA 98402-4443
Phone number: 253-597-4550
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