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Shatonna Johnson
NPI 1972018125 · on the registry since 2017 · sole proprietor
Practice
- Address
- 318 Miriam Ave
Rockford, IL 61101 - Phone
- (779) 208-6179
- Fax
- (779) 208-6179
Registry record
- Primary taxonomy
- 376K00000X
376K00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-12-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois