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Individual

SHARON D JOHNSON

Active
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Individual

SHARON D JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.D.,L.D.

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT00080
TX
133VN1004X
Pediatric Nutrition Registered Dietitian
DT00080
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
145907501
TX
01
8F6285
BCBS
TX
Enumeration date
12/20/2006
Last updated
04/29/2010
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