Individual
VEDA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4131 DR MARTIN LUTHER KING DR, SAINT LOUIS, MO 63113-2747
(314) 504-4770
Mailing address
4131 DR MARTIN LUTHER KING DR, SAINT LOUIS, MO 63113-2747
(314) 504-4770
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/26/2024
Last updated
04/26/2024
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