Individual
JOHNNY JUSTIN DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD, LDN
Contact information
Practice address
732 OLDE TOWNE DR, IRVING, TX 75061-9118
(623) 251-9868
Mailing address
732 OLDE TOWNE DR, IRVING, TX 75061-9118
(623) 251-9868
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT86180
TX
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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