Individual
DEIDRA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
3434 SWISS AVE, SUITE 410, DALLAS, TX 75204-6251
(214) 828-5010
(214) 828-5011
Mailing address
3434 SWISS AVE, SUITE 410, DALLAS, TX 75204-6251
(214) 828-5010
(214) 828-5011
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT02928
TX
Other
Enumeration date
03/26/2013
Last updated
06/25/2013
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