Individual
BRANDI JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
609 METAIRIE RD, METAIRIE, LA 70005-4034
(504) 901-0455
Mailing address
609 METAIRIE RD, METAIRIE, LA 70005-4034
(504) 901-0455
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
010373354
LA
172A00000X
Driver
—
—
Other
Enumeration date
07/13/2023
Last updated
08/04/2023
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