Individual
TIFFINY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9860 JEFFREY DR, SAINT LOUIS, MO 63137-3615
(636) 674-9289
Mailing address
9860 JEFFREY DR, SAINT LOUIS, MO 63137-3615
(636) 674-9289
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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