MARY JOHNSON

RAYVILLE, LA
NPI1598389272
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: LA  208805)
Enumeration Date2020-05-29
Last Update Date2020-05-29
Business Address
MARY JOHNSON PMHNP
307 HAYES ST
RAYVILLE, LA 71269-2531
Phone number: 318-728-5488
Mailing Address
MARY JOHNSON PMHNP
307 HAYES ST
RAYVILLE, LA 71269-2531
Phone number: 318-728-5488