DEWAYNE JERRELL JOHNSON

FLORISSANT, MO
NPI1306526686
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy246ZC0007X Specialist/Technologist, Other, Surgical Assistant
Enumeration Date2023-07-20
Last Update Date2023-07-20
Business Address
Ms. DEWAYNE JERRELL JOHNSON
1640 EMERALD CREEK DR
FLORISSANT, MO 63031-2046
Phone number: 314-283-2067
Mailing Address
Ms. DEWAYNE JERRELL JOHNSON
1640 EMERALD CREEK DR
FLORISSANT, MO 63031-2046
Phone number: 314-283-2067