Individual
JOHANN JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1614 E MAIN ST STE D, NEW IBERIA, LA 70560-4056
(337) 256-5917
Mailing address
1614 E MAIN ST STE D, NEW IBERIA, LA 70560-4056
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/09/2018
Last updated
07/09/2018
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