Individual
MR. JOHNNY DELL HUFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN, WCC, OMS
Contact information
Practice address
13834 PARKS STEED DR, EARTH CITY, MO 63045-1405
(636) 244-5258
(636) 244-5261
Mailing address
13834 PARKS STEED DR, EARTH CITY, MO 63045-1405
(636) 244-5258
(636) 244-5261
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2008009865
MO
Other
Enumeration date
05/18/2020
Last updated
05/18/2020
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