Individual
SHIEQUANE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7234 W MARINE DR, MILWAUKEE, WI 53223-2012
(414) 389-7368
Mailing address
7234 W MARINE DR, MILWAUKEE, WI 53223-2012
(414) 389-7368
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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