Individual
WYNTER ANNETTE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
702 CARR STREET, SAINT LOUIS, MO 63101
(314) 914-5945
Mailing address
702 CARR STREET, SAINT LOUIS, MO 63101
(314) 914-5945
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
122094A
MO
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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