NPI 1689440679

Latrecia Antoinette Johnson

Practitioner Prosthetist Biloxi, MS

Practice location

Address: 296 Beauvoir Rd STE 1005120, Biloxi, MS 39531-4051
Phone: (601) 514-2533

Registered specialties

Prosthetist Primary

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

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Registry record

NPI: 1689440679
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Nov 2023
Record last updated: 2 Jan 2024

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.