Individual
MS. SHONDA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10737 WHEELER BEND AVE, BATON ROUGE, LA 70814
(225) 454-9485
Mailing address
10737 WHEELER BEND AVE, BATON ROUGE, LA 70814
(225) 454-9485
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
6838658
LA
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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