MATTHEW WALLACE JOHNSON

NEW ORLEANS, LA
NPI1225539182
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-02-26
Last Update Date2020-07-13
Business Address
MATTHEW WALLACE JOHNSON DO
1542 TULANE AVE # T4M2
NEW ORLEANS, LA 70112-2865
Phone number: 504-568-5600
Mailing Address
MATTHEW WALLACE JOHNSON DO
1542 TULANE AVE # T4M2
NEW ORLEANS, LA 70112-2865
Phone number: 504-568-5600
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