Individual
JOHANNA BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
1461 EDORA RD, FORT COLLINS, CO 80525-1247
(319) 461-6443
Mailing address
1461 EDORA RD, FORT COLLINS, CO 80525-1247
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/30/2019
Last updated
09/30/2019
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