Individual
MS. MAURA KATHRYN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2003 W FULTON ST, CHICAGO, IL 60612-2345
(312) 850-3438
Mailing address
3062 BOSSHARD DR, FITCHBURG, WI 53711-5860
(608) 417-0301
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86130585
—
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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