Individual
KIMBERLY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9258 SUNRISE DR, BATON ROUGE, LA 70811-2600
(225) 401-8831
Mailing address
9258 SUNRISE DR, BATON ROUGE, LA 70811-2600
(225) 401-8831
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
007341858
LA
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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