Individual
DOMINIQUE AMANDA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2118 S FLORENCE AVE, SPRINGFIELD, MO 65807-2766
(314) 226-7977
Mailing address
2118 S FLORENCE AVE, SPRINGFIELD, MO 65807-2766
(314) 226-7977
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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