Individual
MR. MICHAEL JOHNSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
8166 MAIN ST, HOUMA, LA 70360-3404
(985) 873-4141
Mailing address
30 AMARILLO DR, HOUMA, LA 70360-7286
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP08147
LA
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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