Dominique Shakia Johnson
NPI #1225893001 in Queens Village, New York
Provider Information
- NPI Number
- 1225893001
- Entity Type
- Individual
- Name
- Dominique Shakia Johnson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Feb 20, 2024
- Last Updated
- Feb 20, 2024
Practice Location
- Address
- 21229 HILLSIDE AVE APT 7MW
- City
- Queens Village
- State
- New York
- ZIP Code
- 11427-1823
- Phone
- (347) 869-8952
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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