Individual
ERIKKA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
591 MARTIN LUTHER KING DR, COUSHATTA, LA 71019-8831
(318) 652-6840
Mailing address
591 MARTIN LUTHER KING DR, COUSHATTA, LA 71019-8831
(318) 652-6840
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
12/06/2020
Last updated
12/06/2020
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