Grant Edward Johnson

NPI # 

Practice Address:

1221 Hilltop St

Gibsland, LA, 71028

Practice Phone:

318-843-6090

Practice Fax:

318-843-6090

License Number:

008591754

License State:

LA

Taxonomy Grouping:

Other Service Providers

Taxonomy Classification:

Driver

Taxonomy Code:

172A00000X