SHANNON JOHNSON

PRESTONSBURG, KY
NPI1225740012
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2022-12-23
Last Update Date2022-12-23
Business Address
SHANNON JOHNSON
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572
Mailing Address
SHANNON JOHNSON
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572