Individual
KJERSTI A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
32030 23RD AVE S, FEDERAL WAY, WA 98003-6031
(253) 946-4852
(253) 946-4862
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI 60591061
WA
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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