Individual
CARRION R JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2389 N KING AVE, LUTCHER, LA 70071-5324
(504) 858-3697
Mailing address
2389 N KING AVE, LUTCHER, LA 70071-5324
(504) 858-3697
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
296465
LA
Other
Enumeration date
08/29/2020
Last updated
08/29/2020
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