Individual
SHAUNTE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3444 DANA LN, VIRGINIA BEACH, VA 23452-4057
(757) 553-1812
(757) 904-3168
Mailing address
3444 DANA LN, VIRGINIA BEACH, VA 23452-4057
(757) 553-1812
(757) 904-3168
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
VA
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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