Individual
PRISCILLA RAE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDN
Contact information
Practice address
5316 29TH ST NW, WASHINGTON, DC 20015-1332
(202) 510-1164
Mailing address
5316 29TH ST NW, WASHINGTON, DC 20015-1332
(202) 510-1164
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
NU100000165
DC
Other
Enumeration date
03/11/2015
Last updated
03/11/2015
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