Individual
SHELBY K JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LRD
Contact information
Practice address
115 W 2ND ST, GRACEVILLE, MN 56240-4845
(320) 748-7243
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 364-8000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3438
MN
Other
Enumeration date
07/24/2017
Last updated
07/24/2017
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