Provider / Organization | NPI | Date Certified |
---|---|---|
SHAWNEE JOHNSON | 1336641455 | 2024-11-10 |
Shawnee Johnson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1336641455. Registration indicates Shawnee Johnson is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Rehabilitation Practitioner (Rehabilitation Practitioner, ) (Rehabilitation Practitioner, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
Entity Type | Individual |
Provider Name | Shawnee Johnson |
Practice Office Address | 545 LAUREL ST SAN DIEGO, CA US |
Practice Office Telephone | 6192334399 |
Mailing Address | 545 LAUREL ST SAN DIEGO, CA 921011634 US |
Business Telephone | 6192334399 |
Code | Practice | License No State |
---|---|---|
225400000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Rehabilitation Practitioner Rehabilitation Practitioner Rehabilitation Practitioner Respiratory, Developmental, Rehabilitative and Restorative Service Providers |