Individual
JENNIFER R JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 CHURCH ST STE 105, FERGUSON, MO 63135-2430
(314) 176-3600
Mailing address
111 CHURCH ST STE 105, FERGUSON, MO 63135-2430
(314) 716-3600
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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