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Individual
MRS. SHEENA MARIE JOHNSON
Active
Individual
MRS. SHEENA MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
013331
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02995513
—
NY
Enumeration date
06/09/2009
Last updated
08/26/2022
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