Individual
MRS. TIFFANY NICOLE JOHNSON-LARGENT
Active
Individual
MRS. TIFFANY NICOLE JOHNSON-LARGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., RD, LN, LD
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
DX3350
MD
133N00000X
Nutritionist
Primary
NU100000121
DC
133V00000X
Registered Dietitian
DI00000518
DC
133V00000X
Registered Dietitian
DX3350
MD
Other
Enumeration date
04/04/2012
Last updated
01/17/2013
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