Individual
BRIAN PHILLIP ST JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 11TH ST, SACRAMENTO, CA 95814-5701
(424) 285-3890
Mailing address
P.O. BOX 1679 #4068, SACRAMENTO, CA 95812
(424) 285-3890
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
DHS-6189Z
MN
251G00000X
Community Based Hospice Care Agency
DHS-6189Z
MN
253Z00000X
In Home Supportive Care Agency
DHS-6189Z
MN
372600000X
Adult Companion
DHS-6189Z
MN
3747A0650X
Attendant Care Provider
DHS-6189Z
MN
374U00000X
Home Health Aide
DHS-6189Z
MN
385H00000X
Respite Care
DHS-6189Z
MN
Other
Enumeration date
04/21/2020
Last updated
08/23/2022
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