Individual
PAMELA MARIE ST. JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APSS
Contact information
Practice address
108 JEFFERSON CT, BEREA, KY 40403-1544
(859) 319-4787
Mailing address
306 ROSEDALE AVE, RICHMOND, KY 40475-1041
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1187509
KY
Other
Enumeration date
05/18/2022
Last updated
05/18/2022
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