Individual
TERRICA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4343 DENHAM ST APT 102, BATON ROUGE, LA 70805-1401
(225) 221-3919
Mailing address
4343 DENHAM ST APT 102, BATON ROUGE, LA 70805-1401
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
343900000X
NON EMERGENCY TRANSPORTATION
—
Enumeration date
07/13/2020
Last updated
07/13/2020
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