Individual
MRS. TYSHEENE SHAMONE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
1535 S FRASER WAY, AURORA, CO 80012-5726
(303) 481-8694
Mailing address
1535 S FRASER WAY, AURORA, CO 80012-5726
(303) 481-8694
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
511177
CO
Other
Enumeration date
06/15/2009
Last updated
06/15/2009
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