Individual
KATOYA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1005 QUAIL CREEK RD APT A, SHREVEPORT, LA 71105-2310
(318) 230-3900
Mailing address
1005 QUAIL CREEK RD APT A, SHREVEPORT, LA 71105-2310
(318) 230-3900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP09134
LA
Other
Enumeration date
02/03/2017
Last updated
02/03/2017
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