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Individual
ROSE M JOHNSON
Active
Individual
ROSE M JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LRD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
950
ND
133VN1005X
Renal Nutrition Registered Dietitian
Primary
950
ND
133VN1006X
Metabolic Nutrition Registered Dietitian
950
ND
Other
Enumeration date
08/13/2012
Last updated
07/03/2014
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