Individual
SHANIKQU LASHUN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
818 N HIGHWAY 67 STE 102A, CEDAR HILL, TX 75104-2150
(682) 999-7913
Mailing address
320 W PLEASANT RUN RD APT 3309, CEDAR HILL, TX 75104-0026
(469) 984-5169
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
—
TX
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
08/06/2020
Last updated
01/19/2023
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