Individual
RILEY BENJAMIN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
269 S CANDY LN, COTTONWOOD, AZ 86326-4158
(928) 639-6557
(928) 639-6340
Mailing address
269 S CANDY LN, COTTONWOOD, AZ 86326-4158
(928) 639-6557
(928) 639-6340
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86152158
—
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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