SHANAE GENISE JOHNSON

QUEENS VILLAGE, NY
NPI1114435450
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  330534)
Enumeration Date2018-01-22
Last Update Date2018-01-22
Business Address
SHANAE GENISE JOHNSON
9358 208TH ST
QUEENS VILLAGE, NY 11428-1061
Phone number: 718-612-5402
Mailing Address
SHANAE GENISE JOHNSON
9358 208TH ST
QUEENS VILLAGE, NY 11428-1061
Phone number: 718-612-5402
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