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Individual

SHERITA JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3411 CASTLEBURY DR, CHESTER, VA 23831-1860
(804) 590-5706
Mailing address
3411 CASTLEBURY DR, CHESTER, VA 23831-1860

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002095787
VA

Other

Enumeration date
07/08/2020
Last updated
07/08/2020
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