JORDAN D JOHNSON

BATON ROUGE, LA
NPI1518589035
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2020-05-07
Last Update Date2020-05-07
Business Address
JORDAN D JOHNSON
8326 KELWOOD AVE
BATON ROUGE, LA 70806-4803
Phone number: 225-478-9685
Mailing Address
JORDAN D JOHNSON
8326 KELWOOD AVE
BATON ROUGE, LA 70806-4803
Phone number: 225-478-9685