Individual
MRS. NICOLE CHRISTINIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
50 SIMON STREET SE SUITE A, EAST WENATCHEE, WA 98802
(509) 433-1091
Mailing address
308 OLIVE STREET, CASHMERE, WA 98815
(509) 433-1091
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
859206
WA
Other
Enumeration date
02/28/2017
Last updated
02/28/2017
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