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Individual

MARY DANIEL JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
2790 CLAY EDWARDS DR STE 600, NORTH KANSAS CITY, MO 64116-3274
(816) 691-5048
(816) 346-7039
Mailing address
2790 CLAY EDWARDS DR STE 600, NORTH KANSAS CITY, MO 64116-3274
(816) 691-5048
(816) 346-7039

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1935
AR
133V00000X
Registered Dietitian
Primary
2021034269
MO

Other

Enumeration date
08/21/2019
Last updated
08/24/2021
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