Individual
SHAWN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3108 E LABURNUM AVE, RICHMOND, VA 23223-1221
(804) 437-0237
(804) 344-3344
Mailing address
3108 E LABURNUM AVE, RICHMOND, VA 23223-1221
(804) 437-0237
(804) 344-3344
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
10/21/2014
Last updated
10/21/2014
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