Individual
SANDRA J JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4615 GOVERNMENT ST, BUILDING 2, BATON ROUGE, LA 70806-5820
(225) 922-0445
(225) 925-1987
Mailing address
4615 GOVERNMENT ST, BUILDING 2, BATON ROUGE, LA 70806-5820
(225) 922-0445
(225) 925-1987
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
890525
LA
Other
Enumeration date
06/23/2008
Last updated
06/23/2008
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