Organization
DIETITIAN DANIELLE LLC
Active
Other names
Dietitian Danielle
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE JOHNSON RD, LD (REGISTERED DIETITIAN-OWNER)
(281) 947-2731
Entity
Organization
Contact information
Practice address
951 FM 646 RD E STE A8, DICKINSON, TX 77539-5597
(281) 947-2731
(281) 215-5104
Mailing address
951 FM 646 RD E STE A8, DICKINSON, TX 77539-5597
(281) 947-2731
(281) 215-5104
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT84520
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1871008193
NPI TYPE 1
TX
01
—
DT84520
LICENSE
TX
Enumeration date
02/21/2018
Last updated
06/16/2018
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