Individual
MS. GRACE P. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, RD, LD
Contact information
Practice address
19590 OLD CUTLER RD, CUTLER BAY, FL 33157-8048
(786) 466-3500
(786) 466-3889
Mailing address
764 NW 154TH AVE, PEMBROKE PINES, FL 33028-1863
(954) 443-0222
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND 3260
FL
Other
Enumeration date
03/14/2013
Last updated
03/14/2013
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