Individual
SHAYONA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
656 E 225TH ST APT 2F, BRONX, NY 10466-3939
(914) 758-3617
Mailing address
656 E 225TH ST APT 2F, BRONX, NY 10466-3939
(914) 758-3617
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
01/20/2022
Last updated
01/20/2022
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