Shanita Shantay Johnson

NPI #1245794031 in Mount Pleasant, Texas

Provider Information

NPI Number
1245794031
Entity Type
Individual
Name
Shanita Shantay Johnson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Jan 25, 2019
Last Updated
Jan 25, 2019

Practice Location

Address
210 CLAYTON AVE
State
Texas
ZIP Code
75455-3732
Phone
(903) 855-9637

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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