Individual
SHANICE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
300 SE 2ND ST STE 600, FORT LAUDERDALE, FL 33301-1950
(917) 392-5818
Mailing address
8300 SANDS POINT BLVD APT K107, TAMARAC, FL 33321-3806
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND12158
FL
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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