Individual
MRS. JENNIFER MICHELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.P.H., R.D.
Contact information
Practice address
1555 MESA VERDE DR E, #17L, COSTA MESA, CA 92626-5120
(949) 452-1750
Mailing address
1555 MESA VERDE DR E, #17L, COSTA MESA, CA 92626-5120
(949) 452-1750
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
927649
CA
Other
Enumeration date
07/09/2007
Last updated
07/09/2007
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