GUS JOHNSON

NATCHITOCHES, LA
NPI1386836948
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
(Licence: LA  10952)
Enumeration Date2007-08-16
Last Update Date2007-08-16
Business Address
Mr. GUS JOHNSON
750 OUIDA DR
NATCHITOCHES, LA 71457-5446
Phone number: 318-352-5961
Mailing Address
Mr. GUS JOHNSON
750 OUIDA DR
NATCHITOCHES, LA 71457-5446
Phone number: 318-352-5961