Individual
JOHNA JIMENEZ BURDEOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2226 GREENTHREAD, LEAGUE CITY, TX 77573-6370
(626) 524-8564
Mailing address
2226 GREENTHREAD, LEAGUE CITY, TX 77573-6370
(626) 524-8564
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
911826
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
911826
COMMISSION ON DIETETIC REGISTRATION
—
01
—
DT84323
TEXAS DEPARTMENT OF LICENSING AND REGULATION
TX
Enumeration date
01/04/2022
Last updated
01/09/2025
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