# MS. SHELETHIA DEANNINE JOHNSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1003126384
- **Gender:** F
- **Credential:** CNA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | 79422 | FL | Yes |

## Other

- **Enumeration date:** 10/20/2010
- **Last updated:** 10/20/2010
