Individual
SHERELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31 E BUTLER AVE, AMBLER, PA 19002-4510
(215) 646-6406
Mailing address
5105 CLARK LN APT 101, COLUMBIA, MO 65202-9876
(985) 817-0090
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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