Individual
ROLANDA ANTOINETTE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1533 MARSHALL ST, SHREVEPORT, LA 71101-3941
(318) 626-5597
(318) 626-5691
Mailing address
1533 MARSHALL ST, SHREVEPORT, LA 71101-3941
(318) 626-5597
(318) 626-5691
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
20150880
LA
Other
Enumeration date
12/13/2022
Last updated
12/13/2022
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