Individual
MS. WANDA M. JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
7510 VANDERKLOOT AVE, NEW ORLEANS, LA 70127-1648
(504) 462-6143
(504) 324-4573
Mailing address
3303, TULANE AVENUE SUITE #3, NEW ORLEANS, LA 70119
(504) 302-1323
(504) 324-4573
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
270101031154280
LA
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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