Individual
BREYANNA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1312 NORTH MORRISON BLVD, HAMMOND, LA 70401
(985) 551-5155
Mailing address
1312 NORTH MORRISON BLVD, HAMMOND, LA 70401
(985) 551-5155
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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