LATRECIA ANTOINETTE JOHNSON

BILOXI, MS
NPI1689440679
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224P00000X Prosthetist
Enumeration Date2023-11-30
Last Update Date2024-01-02
Business Address
LATRECIA ANTOINETTE JOHNSON
296 BEAUVOIR RD STE 1005120
BILOXI, MS 39531-4051
Phone number: 601-514-2533
Mailing Address
LATRECIA ANTOINETTE JOHNSON
296 BEAUVOIR RD STE 1005120
BILOXI, MS 39531-4051
Phone number: 601-514-2533