Individual
RHONDA ANNE JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
10432 GARDO CT, SAINT LOUIS, MO 63137-3525
(314) 761-3800
Mailing address
10432 GARDO CT, SAINT LOUIS, MO 63137-3525
(314) 761-3800
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770998486
—
MO
Enumeration date
01/18/2020
Last updated
01/18/2020
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