Individual
SHANITA MONIQUE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10519 RUSSET ST, OAKLAND, CA 94603-3729
(510) 575-3180
Mailing address
10519 RUSSET ST, OAKLAND, CA 94603-3729
(510) 575-3180
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
11/08/2024
Last updated
11/08/2024
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