Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 126800000X | Dental Assistant | WA |
NPI | 1083728265 |
---|---|
Provider Name | Mrs. Keri Ann Johnson |
First Address | Woodland, WA 98674-1400 |
Second Address | Vancouver, WA 98686-1448 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2006 |
Last Update Date | 08/07/2007 |