Individual
SHERRY JOHNSON
Active
Individual
SHERRY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRANIAL PROSTHETIC
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
FTTXCRD1DA
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
92-3371708
SALON BUSINESS
NC
Enumeration date
03/28/2024
Last updated
05/05/2025
Update your record
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