Individual
MS. DANIELLE ARLENE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
265 RODERICK DR, SAINT LOUIS, MO 63137-4560
(314) 448-3694
Mailing address
265 RODERICK DR, SAINT LOUIS, MO 63137-4560
(314) 448-3694
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MO
Other
Enumeration date
03/03/2020
Last updated
03/03/2020
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