Individual
ALYCE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
8000 W JUDGE PEREZ DR, CHALMETTE, LA 70043-1668
(504) 826-9500
Mailing address
3510 N CAUSEWAY BLVD STE 404, METAIRIE, LA 70002-3531
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
119697
LA
Other
Enumeration date
05/08/2015
Last updated
05/08/2015
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