Individual
SHYANNE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2820 W CHARLESTON BLVD, LAS VEGAS, NV 89102-1942
(702) 682-2535
Mailing address
2820 W CHARLESTON BLVD, LAS VEGAS, NV 89102-1942
(702) 682-2535
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
171400000X
Health & Wellness Coach
—
—
Other
Enumeration date
03/27/2025
Last updated
03/27/2025
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