Individual
SUZANNE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
845 PADDOCK DR, FLORISSANT, MO 63033-3516
(314) 374-2858
Mailing address
4035 HIGHWILLOW DR, FLORISSANT, MO 63033-6610
(314) 374-2858
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/01/2019
Last updated
03/01/2019
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