Individual
SHEENA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2583 KILGOBBIN CRES, BROWNSBURG, IN 46112-5630
(317) 413-7742
Mailing address
2583 KILGOBBIN CRES, BROWNSBURG, IN 46112-5630
(317) 413-7742
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
24015992
IN
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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