Individual
MIKOLAS FRANCISCO JAMES JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
Mailing address
4101 EVERS DR, SHREVEPORT, LA 71109-8313
(318) 519-9170
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
—
—
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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