Individual
DR. MATILDA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, MS, MPH, PHD
Contact information
Practice address
2258 WHEYSTONE ST, VIENNA, VA 22182-5237
(601) 720-0998
Mailing address
2258 WHEYSTONE ST, VIENNA, VA 22182-5237
(601) 720-0998
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DX7522
MD
Other
Enumeration date
01/01/2026
Last updated
01/01/2026
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