Individual
MRS. CHAUNTREACE DUPREA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
12 ROLAND LN, SAINT PETERS, MO 63376-1802
(636) 294-9677
Mailing address
12 ROLAND LN, SAINT PETERS, MO 63376-1802
(636) 294-9677
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2006031543
MO
Other
Enumeration date
04/14/2009
Last updated
04/14/2009
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