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Individual

JAMARION J JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6 CARDINAL WAY, UNIT 900, ST. LOUIS, MO 63102
(314) 665-8522
Mailing address
6 CARDINAL WAY, UNIT 900, SAINT LOUIS, MO 63102-3979
(314) 665-8522

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
253Z00000X
In Home Supportive Care Agency
Primary
343900000X
Non-emergency Medical Transport (VAN)
385HR2050X
Respite Care Camp

Other

Enumeration date
07/10/2023
Last updated
01/24/2024
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