Mr Johnny Dell Huffman, LPN, WCC, OMS | |
13834 Parks Steed Dr, Earth City, MO 63045-1405 | |
(636) 244-5258 | |
(636) 244-5261 |
Full Name | Mr Johnny Dell Huffman |
---|---|
Gender | Male |
Speciality | Licensed Practical Nurse |
Location | 13834 Parks Steed Dr, Earth City, Missouri |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639792203 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 2008009865 (Missouri) | Primary |
Mailing Address | Practice Location Address |
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Mr Johnny Dell Huffman, LPN, WCC, OMS 13834 Parks Steed Dr, Earth City, MO 63045-1405 Ph: (636) 244-5258 | Mr Johnny Dell Huffman, LPN, WCC, OMS 13834 Parks Steed Dr, Earth City, MO 63045-1405 Ph: (636) 244-5258 |