La-Kenya Johnson

NPI #1346021045 in Moultrie, Georgia

Provider Information

NPI Number: 1346021045
Entity Type: Individual
Name: La-Kenya Johnson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Driver
Enumeration Date: Oct 9, 2023
Last Updated: Oct 9, 2023

Practice Location

Address: 148 COOK RD
City: Moultrie
State: Georgia
ZIP Code: 31788-1475
Phone: (229) 456-2772

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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