MS. Dewayne Jerrell Johnson
MS. Dewayne Jerrell Johnson is a Surgical Assistant in Florissant, Missouri. Practices as a sole proprietor. Licensed in Missouri.
- Licensed in
- MO
- In the registry since
- 2023
Practice location Address checks out
1640 Emerald Creek DrFlorissant, MO 63031-2046
Phone: (314) 283-2067
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Assistant (primary) | Taxonomy 246ZC0007X (MO) |
|---|
Record details
| NPI number | 1306526686 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 20, 2023 |
| Last updated in NPPES | July 20, 2023 |
| Certification date | July 20, 2023 |
| Mailing address | 1640 Emerald Creek Dr, Florissant, MO 63031-2046 |