Individual
MS. PANDORA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1636 POPPS FERRY RD STE 110, BILOXI, MS 39532-2276
(228) 380-2370
(228) 331-0367
Mailing address
PO BOX 6494, GULFPORT, MS 39506-6494
(228) 380-2370
(228) 331-0367
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
253Z00000X
MS
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
MS
347C00000X
Private Vehicle
347C00000X
MS
Other
Enumeration date
12/08/2010
Last updated
07/14/2023
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