SHANNON JOHNELLE JOHNSON

TULSA, OK
NPI1871489260
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2025-06-13
Last Update Date2025-06-13
Business Address
SHANNON JOHNELLE JOHNSON
1728 S CARSON AVE
TULSA, OK 74119-4610
Phone number: 918-808-2604
Mailing Address
SHANNON JOHNELLE JOHNSON
1728 S CARSON AVE
TULSA, OK 74119-4610
Phone number: 918-808-2604