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Detrinette Johnson

Detrinette Johnson is a health care provider specializes in Durable Medical Equipment & Medical Supplies.

profile-icon Basic Information

Practice Location 6645 Vineyard Dr, Baton Rouge, LA 70812-2148, US
Practice Location Phone225-358-6823
Practice Location Fax225-356-1498
GenderFemale
Specialty InDurable Medical Equipment & Medical Supplies
NPI ?1821278490
Entity TypeIndividual
Enumeration Date ? Nov 12, 2007
Last Update Date ? Nov 12, 2007
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Detrinette Johnson

SpecialtySpecializationLicenseLicense State
Durable Medical Equipment & Medical Supplies

legacy-id-icon Legacy Provider IDs of Detrinette Johnson

Provider IdIssuer StateIssuer TypeIssuer
1455890LouisianaMedicaid