Individual
BRANDI JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
650 W MCKINLEY ST, 3305 D, BATON ROUGE, LA 70802-7744
(504) 416-6422
Mailing address
650 W MCKINLEY ST, 3305 D, BATON ROUGE, LA 70802-7744
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
011111886
LA
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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