Individual
CAITLIN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
306 HAMPTON DR, SANTA MARIA, CA 93454-3497
(208) 761-5472
Mailing address
306 HAMPTON DR, SANTA MARIA, CA 93454-3497
(208) 761-5472
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86008031
CA
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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