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Individual

ANGELA JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10545 DARRYL DR, BATON ROUGE, LA 70815
(225) 328-3011
Mailing address
10545 DARRYL DR, BATON ROUGE, LA 70815-1224
(225) 328-3011

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary

Other

Enumeration date
08/07/2018
Last updated
08/20/2018
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Product
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  • Eligibility checks
  • EDI platform