Individual
MRS. MARY LEE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PRACTITIONER
Contact information
Practice address
5804 BAYOU RAPIDES RD, ALEXANDRIA, LA 71303-7728
(318) 730-1861
Mailing address
5802 BAYOU RAPIDES RD, ALEXANDRIA, LA 71303-7728
(318) 730-1861
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
—
LA
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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