Individual
MARCIA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPECIALIST
Contact information
Practice address
1528 BARKSDALE BLVD, BOSSIER CITY, LA 71111-4602
(318) 754-9227
Mailing address
625 BRINGHURST DR, SHREVEPORT, LA 71106-4009
(318) 754-9227
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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