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Shonta Isom, CENA
NPI 1932818077 · on the registry since 2022 · sole proprietor
Practice
- Address
- 14929 Lindsay St
Detroit, MI 48227 - Phone
- (248) 688-5080
- Fax
- (313) 340-2694
- Organisation at this address
- Journey House Llc.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 376K00000X
376K00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-11-17
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 Michigan