Individual
JESSICA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 RUE ST FRANCOIS STREET #109, FLORISSANT, MO 63031-1227
(314) 583-4497
Mailing address
100 RUE ST FRANCOIS STREET #109, FLORISSANT, MO 63031-1227
(314) 583-4497
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
MO
Other
Enumeration date
04/23/2018
Last updated
03/09/2020
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