Miranda Johnson

NPI #1063024123 in Thibodaux, Louisiana

Provider Information

NPI Number
1063024123
Entity Type
Individual
Name
Miranda Johnson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Aug 20, 2020
Last Updated
Aug 20, 2020

Practice Location

Address
1418 TIGER DR
ZIP Code
70301-4337
Phone
(985) 449-4055

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