Tyreyun Johnson
Tyreyun Johnson is a Prosthetist in Edgard, Louisiana. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
235 Central AveEdgard, LA 70049-2533
Phone: (504) 413-1099
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prosthetist (primary) | Taxonomy 224P00000X |
|---|
Record details
| NPI number | 1427616960 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 30, 2019 |
| Last updated in NPPES | May 30, 2019 |
| Mailing address | 235 Central Ave, Edgard, LA 70049-2533 |