Individual
MS. ERICA PATRICE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2042 NEW SUN DR, FLORISSANT, MO 63031-2792
(314) 448-3368
Mailing address
2042 NEW SUN DR, FLORISSANT, MO 63031-2792
(314) 448-3368
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2012007861
MO
Other
Enumeration date
05/17/2012
Last updated
05/17/2012
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