Shaina Johnson

NPI #1104530534 in Brookhaven, Georgia

Provider Information

NPI Number: 1104530534
Entity Type: Individual
Name: Shaina Johnson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jan 10, 2023
Last Updated: Jan 10, 2023

Practice Location

Address: 705 TOWN BLVD NE APT 257
City: Brookhaven
State: Georgia
ZIP Code: 30319-3064
Phone: (516) 554-4700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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