Individual
MISS SHAOBENY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
3131 W BELLFORT AVE APT 1120, HOUSTON, TX 77054-5048
(432) 349-6976
Mailing address
3131 W BELLFORT AVE APT 1120, HOUSTON, TX 77054-5048
(432) 349-6976
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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