Individual
MS. STEPHANIE JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LN
Contact information
Practice address
1721 RIO RANCHO DR SE, RIO RANCHO, NM 87124-1570
(505) 896-8600
(505) 896-8687
Mailing address
1721 RIO RANCHO DR SE, RIO RANCHO, NM 87124-1570
(505) 896-8600
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
LN-1082
NM
Other
Enumeration date
05/17/2016
Last updated
04/18/2017
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