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Individual

SHALONDA JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3307 MANDERSON ST, OMAHA, NE 68111-2833
(402) 812-8946
Mailing address
3307 MANDERSON ST, OMAHA, NE 68111-2833
(402) 812-8946

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
374U00000X
Home Health Aide
Primary

Other

Enumeration date
03/06/2025
Last updated
06/12/2025
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