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Rafe Johnson

NPI 1235806027 · on the registry since 2021 · sole proprietor

Practice

Address
1304 Denmark Ct
Slidell, LA 70461
Phone
(678) 392-6081

Registry record

Primary taxonomy
343900000X
343900000X
Also registered as
343900000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-08-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana