Individual
TIFFANY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5764 SPRING BRIAR ST, SLIDELL, LA 70461-6107
(985) 685-9650
Mailing address
5764 SPRING BRIAR ST, SLIDELL, LA 70461-6107
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
08/18/2023
Last updated
08/18/2023
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