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Individual
CRYSTAL J JOHNSON
Active
Individual
CRYSTAL J JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CDE, CD, LD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00001258
WA
133VN1006X
Metabolic Nutrition Registered Dietitian
DX3074
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8299679
—
WA
Enumeration date
08/30/2005
Last updated
02/09/2011
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