Latauris Johnson

NPI #1891452843 in Jackson, Mississippi

Provider Information

NPI Number: 1891452843
Entity Type: Individual
Name: Latauris Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Adult Companion
Enumeration Date: Nov 24, 2021
Last Updated: Nov 24, 2021

Practice Location

Address: 405 BRIARWOOD DR
City: Jackson
State: Mississippi
ZIP Code: 39206-3052
Phone: (601) 345-1780

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Adult Companion	372600000X	Primary

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Organizations

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Kingdom Covenant Care, LLC	Adult Companion	Jackson	AI Deep Dive
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