Individual
MR. VONDRICK JAMAL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NEMT
Contact information
Practice address
16796 HIGHWAY 80, MINDEN, LA 71055-6406
(318) 382-2944
(318) 382-0176
Mailing address
16796 HIGHWAY 80, MINDEN, LA 71055-6406
(318) 382-2944
(318) 382-0176
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
005865728
LA
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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