Individual
CHANCE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 TOWNE CENTER DR UNIT 336, BELTON, MO 64012-2167
(660) 525-6755
Mailing address
301 TOWNE CENTER DR UNIT 336, BELTON, MO 64012-2167
(660) 525-6755
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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