Individual
EDANA D JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8754 GOODWOOD BLVD, BATON ROUGE, LA 70806-7915
(225) 928-1490
(225) 927-2684
Mailing address
6700 WASHINGTON AVE S, EDEN PRAIRIE, MN 55344-3405
(003) 288-6028
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
1184
LA
Other
Enumeration date
06/17/2019
Last updated
08/02/2019
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