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Sheretta Johnson

Community Health Worker in Omaha, NE. Individual provider (NPI-1).

NPI number1124402003
StatusActive
Last updated in NPPESJul 10, 2015

Details

NPI
1124402003
Entity type
Individual (NPI-1)
Name
Sheretta Johnson
Sex
Female
Sole proprietor
No
Enumeration date
Jul 10, 2015
Last updated
Jul 10, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

124 S 24th St
Ste 230
Omaha, NE 68102-1226

Phone 402-978-5673 · Fax 402-591-5075

Mailing address

124 S 24th St
Ste 230
Omaha, NE 68102-1226

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