Individual
SHANNON RENEE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
315 VAN BUREN ST, BENNET, NE 68317-2089
(531) 500-9247
Mailing address
315 VAN BUREN ST, BENNET, NE 68317-2089
(531) 500-9247
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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