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Individual

JOHNNY L HOWARD JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5232 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63109-2923
(314) 223-6191
Mailing address
5232 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63109-2923
(314) 223-6191

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
86-2055323
MO
Enumeration date
02/20/2021
Last updated
02/20/2021
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