Individual
SHERETTA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
124 S 24TH ST, STE 230, OMAHA, NE 68102-1226
(402) 978-5673
(402) 591-5075
Mailing address
124 S 24TH ST, STE 230, OMAHA, NE 68102-1226
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/10/2015
Last updated
07/10/2015
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