JOHNNIE DAVIS

SAINT LOUIS, MO
NPI1225432784
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MO  2011021506)
Enumeration Date2014-10-13
Last Update Date2014-10-13
Business Address
-- JOHNNIE DAVIS
3201 RUSSELL BLVD
SAINT LOUIS, MO 63104-1649
Phone number: 314-585-9541
Mailing Address
-- JOHNNIE DAVIS
3201 RUSSELL BLVD
SAINT LOUIS, MO 63104-1649
Phone number: