Individual
SHELICE DELCENIA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3236 SUNRISE VILLAGE LN APT B, NORCROSS, GA 30093-5478
(770) 361-8963
Mailing address
3236 SUNRISE VILLAGE LN APT B, NORCROSS, GA 30093-5478
(770) 361-8963
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/23/2017
Last updated
11/23/2017
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