Shavonna Tiquanna Johnson
NPI #1053016782 in Washington, District of Columbia
Provider Information
- NPI Number
- 1053016782
- Entity Type
- Individual
- Name
- Shavonna Tiquanna Johnson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Apr 3, 2023
- Last Updated
- Apr 3, 2023
Practice Location
- Address
- 2811 PENNSYLVANIA AVE SE
- City
- Washington
- State
- District of Columbia
- ZIP Code
- 20020-3865
- Phone
- (202) 894-6811
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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