Individual
HAYLEY BETH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14643 COLONEL ALLEN CT, BATON ROUGE, LA 70816-2902
(225) 454-7780
Mailing address
14643 COLONEL ALLEN CT, BATON ROUGE, LA 70816-2902
(225) 454-7780
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
LA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
LA
Other
Enumeration date
02/02/2018
Last updated
02/02/2018
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