Individual
MS. JOHANNA CHRISTINE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
414 E CLARK ST, VERMILLION, SD 57069-2307
(503) 522-0867
Mailing address
605 STREETER DR APT 8, NORTH SIOUX CITY, SD 57049-4072
(503) 522-0867
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/22/2022
Last updated
08/30/2022
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