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Individual

MRS. JESSICA THORMAN JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RD, LD

Contact information

Practice address
1056 TEXAN TRAIL (FORTIS BMI), GRAPEVINE, TX 76051
(817) 251-0070
(817) 527-6610
Mailing address
1056 TEXAN TRAIL (FORTIS BMI), GRAPEVINE, TX 76051
(817) 251-0070
(817) 527-6610

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT84348
TX

Other

Enumeration date
01/10/2019
Last updated
01/10/2019
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