Individual
MEREDITH Q JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD/LD
Contact information
Practice address
1120 E 34TH ST, HIBBING, MN 55746-2909
(218) 362-7100
Mailing address
1120 E 34TH ST, HIBBING, MN 55746-2909
(218) 362-7100
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4007
MN
Other
Enumeration date
07/05/2018
Last updated
07/05/2018
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