Individual
MRS. MARY MARCHANA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1777 NE INTERSTATE 410 LOOP, SAN ANTONIO, TX 78217
(843) 267-7662
Mailing address
2817 ROCK MERRITT AVENUE, FORT LIBERTY, NC 28310-0001
(910) 907-8811
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/17/2007
Last updated
08/15/2024
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