Individual
SANDRA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
205 STATE ROUTE B STE 8, SAINT JAMES, MO 65559-2000
(573) 265-6004
Mailing address
205 STATE ROUTE B STE 8, SAINT JAMES, MO 65559-2000
(573) 265-6004
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MO
Other
Enumeration date
09/21/2012
Last updated
09/11/2025
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