Individual
CHANTANELL JOHNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8101 KINGSTON RD STE 101B, SHREVEPORT, LA 71108
(318) 606-5335
Mailing address
106 E KINGS HWY STE 101, SHREVEPORT, LA 71104-3401
(318) 606-5335
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/26/2018
Last updated
05/21/2018
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