Individual
MS. VICTORIA ADRIENNE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
11133 DUNN RD, SAINT LOUIS, MO 63136-6163
(314) 747-3581
(314) 747-1710
Mailing address
1035 BELLEVUE AVE STE 500, RICHMOND HEIGHTS, MO 63117-1843
(314) 925-4773
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2016028639
MO
Other
Enumeration date
10/26/2016
Last updated
08/16/2021
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