Individual
MS. KIARA LASHAE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4560 METHODIST HOME RD, JACKSON, MS 39213-4201
(769) 257-7232
(769) 257-7745
Mailing address
4560 METHODIST HOME RD, JACKSON, MS 39213-4201
(769) 257-7232
(769) 257-7745
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
06/19/2014
Last updated
06/19/2014
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