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Rene Lawrence Johnson, PA-STUDENT
Student in an Organized Health Care Education/Training Program in Tacoma, Washington
NPI 1962284190

Rene Lawrence Johnson is a Student in an Organized Health Care Education/Training Program based in Tacoma, WA. Rene Lawrence Johnson practices in Tacoma, WA and has the professional credentials of PA-STUDENT. The NPI Number for Rene Lawrence Johnson is 1962284190 and holds a License No. (Washington).

The current practice location address for Rene Lawrence Johnson is 1708 Yakima Ave, Tacoma, WA and can be reached out via phone at 831-334-7966.

Location: 1708 Yakima Ave, Tacoma, WA, 98405-3528
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962284190
Provider Name
Rene Lawrence Johnson
Credential
PA-STUDENT
Provider Entity Type
Individual
Gender
Male
Address
1708 Yakima Ave, Tacoma, WA, 98405-3528
Phone Number
831-334-7966
Fax Number
Provider Enumeration Date
10/23/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1708 Yakima Ave
City
Tacoma
State
Washington
Zip
98405-5307
Phone Number
831-334-7966
Fax Number
person
Provider Business Mailing Address Details
Address
1708 Yakima Ave
City
Tacoma
State
Washington
Zip
98405-5307
Phone Number
831-334-7966
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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