Individual
MR. RAFE ANTHONY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1304 DENMARK CT, SLIDELL, LA 70461-4561
(678) 392-6081
Mailing address
1304 DENMARK CT, SLIDELL, LA 70461-4561
(678) 392-6081
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
007709423
LA
343900000X
Non-emergency Medical Transport (VAN)
Primary
82-1264661
LA
Other
Enumeration date
08/27/2021
Last updated
08/27/2021
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