Individual
GLENDA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED DIETITIAN
Contact information
Practice address
2021 PERDIDO ST, NEW ORLEANS, LA 70112-1352
(504) 975-3657
Mailing address
PO BOX 5042, LA PLACE, LA 70069-5042
(504) 975-3657
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2162
LA
Other
Enumeration date
11/07/2014
Last updated
11/07/2014
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