Individual
MR. CHRISTOPHER JAMES MANIBUSAN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
112 CHAMORRO LANE, LINN, MO 65051-0584
(573) 263-6427
Mailing address
PO BOX 584, LINN, MO 65051-0584
(573) 263-6427
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/21/2021
Last updated
05/21/2021
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