Individual
SHAWNE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3601 C ST STE 760, ANCHORAGE, AK 99503-5923
(907) 334-2264
Mailing address
3601 C ST STE 760, ANCHORAGE, AK 99503-5923
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
34450
AK
Other
Enumeration date
03/06/2015
Last updated
03/06/2015
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