Individual
KENNEDY LAUREN JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
961 HUMBOLDT AVE, CHICO, CA 95928-5856
(530) 205-3105
Mailing address
961 HUMBOLDT AVE, CHICO, CA 95928-5856
(530) 205-3105
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86145657
CA
133V00000X
Registered Dietitian
D-10213212
OR
Other
Enumeration date
04/27/2021
Last updated
12/26/2024
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