TYREYUN JOHNSON

EDGARD, LA
NPI1427616960
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224P00000X Prosthetist
Enumeration Date2019-05-30
Last Update Date2019-05-30
Business Address
TYREYUN JOHNSON
235 CENTRAL AVE
EDGARD, LA 70049-2533
Phone number: 504-413-1099
Mailing Address
TYREYUN JOHNSON
235 CENTRAL AVE
EDGARD, LA 70049-2533
Phone number: 504-413-1099