Individual
DR. SHANTELE JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NMD
Contact information
Practice address
2134 E BROADWAY RD UNIT 2007, TEMPE, AZ 85282-1777
(602) 762-1205
Mailing address
2134 E BROADWAY RD UNIT 2007, TEMPE, AZ 85282-1777
(602) 762-1205
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
20-1863
AZ
Other
Enumeration date
04/01/2020
Last updated
04/01/2020
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