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Individual

SHAWNAKA JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
12007 LISBOROUGH RD, BOWIE, MD 20720-3499
(240) 603-2923
Mailing address
12007 LISBOROUGH RD, BOWIE, MD 20720-3499
(240) 603-2923

Taxonomy

Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
R226686
MD

Other

Enumeration date
11/26/2019
Last updated
11/26/2019
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