Individual
JARICA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2715 MACKEY PL, STE 135, SHREVEPORT, LA 71118-2544
(318) 220-8423
Mailing address
2715 MACKEY PL, STE 135, SHREVEPORT, LA 71118-2544
(318) 220-8423
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/09/2017
Last updated
10/30/2018
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