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Individual

RACHELLE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.D

Contact information

Practice address
1200 E MARSHALL ST, CHARLESTON, MO 63834-1336
(573) 683-2191
(573) 683-6539
Mailing address
1200 E MARSHALL ST, CHARLESTON, MO 63834-1336
(573) 683-2191
(573) 683-6539

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2004023246
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
357290501
MO
Enumeration date
01/28/2010
Last updated
01/28/2010
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