Individual
MRS. MARGO ELAINE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
500 S UNIVERSITY AVE, SUITE 219, LITTLE ROCK, AR 72205-5302
(501) 730-4179
Mailing address
1103 RED ROCK RNCH, SAN ANTONIO, TX 78245-4435
(501) 730-4179
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
848
AR
Other
Enumeration date
01/03/2007
Last updated
10/17/2018
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