Individual
TAMEKA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CLC, CCP
Contact information
Practice address
338 OAK ST, JACKSON, MS 39203-1810
(601) 329-5751
Mailing address
338 OAK ST, JACKSON, MS 39203-1810
(601) 329-5751
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D-1329
MS
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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