Individual
NICOLE PFAB JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
279 COLLINS RD NE, CEDAR RAPIDS, IA 52402-3163
(319) 393-4480
(319) 393-5860
Mailing address
279 COLLINS RD NE, CEDAR RAPIDS, IA 52402-3163
(319) 393-4480
(319) 393-5860
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
001811
IA
Other
Enumeration date
01/06/2012
Last updated
01/06/2012
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