NPI 1427616960

Tyreyun Johnson

Practitioner Prosthetist Edgard, LA

Practice location

Address: 235 Central Ave, Edgard, LA 70049-2533
Phone: (504) 413-1099

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Registry record

NPI: 1427616960
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 May 2019
Record last updated: 30 May 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.