SHANE ANTHONY JOHNSON

SAN DIEGO, CA
NPI1104791656
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy373H00000X Day Training/Habilitation Specialist
Enumeration Date2025-10-06
Last Update Date2025-10-06
Business Address
SHANE ANTHONY JOHNSON
3002 ARMSTRONG ST
SAN DIEGO, CA 92111-5702
Phone number: 858-351-5425
Mailing Address
SHANE ANTHONY JOHNSON
3002 ARMSTRONG ST
SAN DIEGO, CA 92111-5702
Phone number: 858-351-5425
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