Individual
LAKINYA SARRELL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
723 HIGHWAY 82 E, GREENVILLE, MS 38701-5409
(662) 400-0736
Mailing address
2232 HAYCRAFT ST, GREENVILLE, MS 38703-3336
(662) 400-0736
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3868
MS
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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