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Individual

DR. SHANDANESHA JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2033 NORMANDIE DR, MONTGOMERY, AL 36111-2711
(720) 660-5293
Mailing address
3710 MS HIGHWAY 35, HOLCOMB, MS 38940-9238

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1312A
AL

Other

Enumeration date
07/09/2022
Last updated
07/09/2022
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