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Shellise Johnson
NPI 1023608049 · on the registry since 2021 · sole proprietor
Practice
- Address
- 1703 E 29th St
Baltimore, MD 21218 - Phone
- (443) 869-6882
Registry record
- Primary taxonomy
- 310400000X
310400000X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-01-23
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 Maryland