Individual
SANDRA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2055 WALTON RD STE 302, OVERLAND, MO 63114-5805
(314) 249-4944
Mailing address
818 SPRINTERS ROW DR, FLORISSANT, MO 63034-3365
(314) 249-4944
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/08/2020
Last updated
01/06/2021
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