Individual
MRS. DIANE ANNETTE ROBISON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2139 E 21ST ST, TULSA, OK 74114-1409
(314) 606-7090
Mailing address
511 W 128TH ST S, JENKS, OK 74037-4410
(314) 606-7090
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2969
OK
Other
Enumeration date
05/22/2024
Last updated
11/21/2024
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