| 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 |
|---|---|
| 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 |