Tiffany Nicole Johnson RD, LD

NPI 1245531029 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1245531029
Gender Female
Enumeration Date 11/09/2010
Last Updated 11/09/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
100 MEDICAL DR
LAKE JACKSON TX, 77566-5674, US
Phone (979) 285-1747
Fax
Business Location
100 MEDICAL DR
LAKE JACKSON TX, 77566-5674, US
Phone (979) 285-1747
Fax
Toxanomy
Taxonomy Code 133V00000X
License State Texas
License Number DT81349
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According to our database, Miss Tiffany Nicole Johnson RD, LD NPI is 1245531029, taxonomy code is 133V00000X and license number is DT81349, license state is located at Texas. Tiffany Nicole Johnson RD, LD physically located at 100 Medical Dr, Lake Jackson TX, 77566-5674. NPI Number Tiffany Nicole Johnson RD, LD has the Individual type.

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1245531029 NPI number is provided on an as is basis without warranty of any kind. 1245531029 is maintained by the National Plan & Provider Enumeration System. The contents of Tiffany Nicole Johnson RD, LD are for informational purposes only.