Individual
DR. WAYNE JOHNSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
303 W MINNESOTA PARK RD STE C, HAMMOND, LA 70403-6149
(985) 350-6110
Mailing address
PO BOX 637, ROBERT, LA 70455-0637
(318) 773-1398
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1671
LA
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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