LISA DIANE JOHNSON
Individual Provider (NPI-1)
Active
Home Health Aide
Provider Information
- NPI Number
1144970096- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1812 JEWELLA AVE APT 3203, SHREVEPORT, LA, 711092033
- Phone
- (318) 759-9405
Specialties & Taxonomies
Home Health Aide
Primary
All Addresses
MAILING
1812 JEWELLA AVE APT 3203
SHREVEPORT, LA, 711092033