Individual
KENYAL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
41186 CITADEL DR, SORRENTO, LA 70778-3425
(225) 802-7542
Mailing address
41186 CITADEL DR, SORRENTO, LA 70778-3425
(225) 802-7542
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
LA
Other
Enumeration date
05/21/2009
Last updated
05/21/2009
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