Individual
MATISSE LELA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6813 5TH ST N, MINNEAPOLIS, MN 55430-2839
(612) 598-2550
(612) 598-2550
Mailing address
6813 5TH ST N, MINNEAPOLIS, MN 55430-2839
(612) 598-2550
(612) 598-2550
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
202501-13
MN
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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