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Individual

MONICA JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
10018 SANDHILL CT, BATON ROUGE, LA 70809-5925
(225) 810-0190
Mailing address
10018 SANDHILL CT, BATON ROUGE, LA 70809-5925

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary

Other

Enumeration date
07/07/2020
Last updated
07/07/2020
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