Individual
JAQUENCIA D JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5425 GALERIA DR STE F, BATON ROUGE, LA 70816-8004
(225) 573-9081
(225) 349-8608
Mailing address
7270 RUSTON DR, BAKER, LA 70714-5252
(225) 573-9081
(225) 349-8608
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
176B00000X
Midwife
—
LA
225700000X
Massage Therapist
Primary
LA8815
LA
Other
Enumeration date
03/17/2022
Last updated
03/17/2022
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