Individual
MS. AVA ANNETTE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1235 RAMSEY ST, FAYETTEVILLE, NC 28301-4401
(910) 433-3600
(910) 433-3661
Mailing address
1235 RAMSEY ST, FAYETTEVILLE, NC 28301-4401
(910) 433-3600
(910) 433-3661
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
620661
NC
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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