Antoinette Lashette Johnson
Antoinette Lashette Johnson is a Specialist in Saint Louis, Missouri. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
3863 Cleveland AveSaint Louis, MO 63110-4009
Phone: (314) 664-3927
Fax: (314) 664-0556
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Specialties & licences
| Specialist (primary) | Taxonomy 174400000X |
|---|
Record details
| NPI number | 1962107326 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 4, 2023 |
| Last updated in NPPES | April 4, 2023 |
| Certification date | April 4, 2023 |
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