Individual
SHARESE LEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
855 SOUTH NEW STREET, WEST CHESTER, PA 19383-2279
(302) 354-7688
Mailing address
11 BRIGHTON WAY, BEAR, DE 19701-2279
(302) 354-7688
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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