Individual
SHARDA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 BROADWAY, SHELBY, MS 38774
(662) 775-5008
Mailing address
PO BOX 1026, SHELBY, MS 38774-1026
(662) 402-6452
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
11/06/2017
Last updated
10/04/2022
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