LISA DIANE JOHNSON

SHREVEPORT, LA
NPI1144970096
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy374U00000X Home Health Aide
Enumeration Date2022-03-24
Last Update Date2022-03-24
Business Address
LISA DIANE JOHNSON
1812 JEWELLA AVE APT 3203
SHREVEPORT, LA 71109-2033
Phone number: 318-759-9405
Mailing Address
LISA DIANE JOHNSON
1812 JEWELLA AVE APT 3203
SHREVEPORT, LA 71109-2033
Phone number: