Individual
MRS. KAYLA LYNNE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
570 COBRA CT, TWIN FALLS, ID 83301-5694
(906) 235-4123
Mailing address
570 COBRA CT, TWIN FALLS, ID 83301-5694
(906) 235-4123
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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