Individual
MRS. DAWN THERESA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS RD LDN
Contact information
Practice address
2029 38TH ST, HIGHLAND, IN 46322-1850
(773) 664-9164
Mailing address
2029 38TH ST, HIGHLAND, IN 46322-1850
(773) 664-9164
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164003038
IL
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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