Shantay M Johnson

NPI #1093019531 in Seagoville, Texas

Provider Information

NPI Number: 1093019531
Entity Type: Individual
Name: Shantay M Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician - Personal Care Attendant
Enumeration Date: Dec 24, 2010
Last Updated: Jan 15, 2016

Practice Location

Address: 1624 PARKHAVEN DRIVE
City: Seagoville
State: Texas
ZIP Code: 75159
Phone: (281) 650-9130

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Adult Companion	372600000X
Technician - Personal Care Attendant — Personal Care Attendant	3747P1801X	Primary
Homemaker	376J00000X

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