Individual
MS. JAN W JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
5278 CHURCH ST, LAFITTE, LA 70067-5224
(504) 451-0998
Mailing address
5278 CHURCH ST, LAFITTE, LA 70067-5224
(504) 451-0998
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
143
LA
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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