Individual
JAKIRA J JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12628 HOOPER RD, BATON ROUGE, LA 70818-3500
(225) 953-8170
Mailing address
2465 LARGUIER LN, PORT ALLEN, LA 70767-3245
(985) 210-5414
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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