Individual
REBECCA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 884-4107
Mailing address
9410 WILDSTONE PL, SAN ANTONIO, TX 78254-6739
(210) 884-4107
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT80733
TX
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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