Individual
ANGELA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
820 ASBURY DR, MANDEVILLE, LA 70471-1842
(985) 674-5155
(985) 671-5156
Mailing address
820 ASBURY DR, MANDEVILLE, LA 70471-1842
(985) 674-5155
(985) 671-5156
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/31/2022
Last updated
01/27/2023
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