Shavonne Irene Johnson, MT

NPI #1720664311 in Princeton, Minnesota

Provider Information

NPI Number
1720664311
Entity Type
Individual
Name
Shavonne Irene Johnson, MT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
MT
Enumeration Date
Mar 23, 2021
Last Updated
Mar 23, 2021

Practice Location

Address
309 15TH AVE S
ZIP Code
55371-1871
Phone
(612) 655-4266

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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