Individual
CASEY M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
801 5TH ST, SIOUX CITY, IA 51101-1326
(712) 279-2243
Mailing address
801 5TH ST, SIOUX CITY, IA 51101-1326
(712) 279-2243
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
098319
IA
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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