Individual
PATRICIA ANN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5501 DELMAR BLVD, SAINT LOUIS, MO 63112-3054
(314) 502-7525
Mailing address
5501 DELMAR BLVD, SAINT LOUIS, MO 63112-3054
(314) 502-7525
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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