Individual
CARLOS H JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1430 OLIVE ST, SAINT LOUIS, MO 63103-2303
(314) 206-3700
(314) 206-3721
Mailing address
1430 OLIVE ST, SAINT LOUIS, MO 63103-2303
(314) 206-3700
(314) 206-3721
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/04/2010
Last updated
02/04/2010
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