IndividualActive
Latrecia Johnson
NPI 1689440679 · Prosthetist · Biloxi, MS
Provider details
- NPI number
- 1689440679
- Entity type
- Individual
- Primary specialty
- ProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
Practice location
296 Beauvoir Rd Ste 1005120
Biloxi, MS 39531-4051
Phone: (601) 514-2533
Mailing address
296 Beauvoir Rd Ste 1005120
Biloxi, MS 39531-4051
Registry dates
- Enumerated
- 2023-11-30
- Last updated
- 2024-01-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.