Individual
SUZETTE B. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3301 STEPHANIE ST, HOUMA, LA 70363-3731
(985) 851-5288
Mailing address
1214 GRAND CAILLOU RD, HOUMA, LA 70363-5555
(985) 872-3171
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14899
LA
Other
Enumeration date
05/26/2011
Last updated
05/26/2011
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