Individual
SHARON JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12706 PARKER LN, CHESTER, VA 23831-5130
(202) 607-7693
Mailing address
12706 PARKER LN, CHESTER, VA 23831-5130
(202) 607-7693
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0167642211
—
VA
Enumeration date
12/22/2014
Last updated
12/22/2014
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