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Individual
MS. SHELETHIA DEANNINE JOHNSON
Active
Individual
MS. SHELETHIA DEANNINE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
79422
FL
372600000X
Adult Companion
79422
FL
3747P1801X
Personal Care Attendant
79422
FL
374U00000X
Home Health Aide
79422
FL
376J00000X
Homemaker
79422
FL
376K00000X
Nurse's Aide
Primary
79422
FL
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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