Individual
MS. SHAMIRA CLINTONIA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
217 W 5TH ST, CHESTER, PA 19013
(610) 803-5484
(610) 874-5837
Mailing address
217 W 5TH ST, CHESTER, PA 19013-4311
(610) 803-5484
(610) 874-5837
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
10019808
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10019808
NURSES AIDE REGISTRY
PA
01
—
6754270
STATE ENTITY NUMBER
PA
Enumeration date
08/16/2018
Last updated
08/17/2018
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