Individual
MS. CHAKEDRA MAURELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
4615 GOVERNMENT ST, BATON ROUGE, LA 70806-5922
(225) 922-0781
Mailing address
4615 GOVERNMENT ST, BATON ROUGE, LA 70806-5922
(225) 922-0781
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN121571
LA
Other
Enumeration date
08/23/2011
Last updated
08/23/2011
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