Individual
CAROL JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
14 E SPRING RIVER RANCH RD, EUREKA, MO 63025-2167
(314) 825-3658
Mailing address
PO BOX 323, EUREKA, MO 63025-0323
(314) 825-3658
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
072654
MO
Other
Enumeration date
10/31/2008
Last updated
10/31/2008
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