Individual
MISS CYNTHIA DENISE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5471 DR MARTIN LUTHER KING DR, SAINT LOUIS, MO 63112-4265
(314) 367-5820
(314) 367-6326
Mailing address
5471 DR MARTIN LUTHER KING DR, SAINT LOUIS, MO 63112-4265
(314) 367-5820
(314) 367-6326
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2014039693
MO
164W00000X
Licensed Practical Nurse
Primary
2012014436
MO
Other
Enumeration date
09/10/2012
Last updated
12/17/2014
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