Individual
MS. SHAMIKA LAYVETTE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4300 JIMMY CARTER BLVD APT 214, NORCROSS, GA 30093-5062
(678) 851-0414
Mailing address
4300 JIMMY CARTER BLVD APT 214, NORCROSS, GA 30093-5062
(678) 851-0414
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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