Individual
BRIDGETTE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6541 JANUARY AVE, SAINT LOUIS, MO 63134-1509
(314) 399-1519
Mailing address
6541 JANUARY AVE, SAINT LOUIS, MO 63134-1509
(314) 399-1519
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/19/2018
Last updated
02/19/2018
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