Individual
MR. HENDERSON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 SOUTH COURT ST, OPELOUSAS, LA 70570
(337) 948-4481
(337) 948-4437
Mailing address
PO BOX 671, OPELOUSAS, LA 70571-0671
(337) 948-4481
(337) 948-4437
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
CLP.200901-PHL
LA
Other
Enumeration date
05/31/2007
Last updated
07/08/2007
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