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Individual

SHAKENYA JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2791 NW 196TH ST, MIAMI GARDENS, FL 33056-2501
(786) 447-2868
Mailing address
2791 NW 196TH ST, MIAMI GARDENS, FL 33056-2501
(786) 447-2868

Taxonomy

Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary

Other

Enumeration date
06/05/2018
Last updated
10/31/2018
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