Individual
DANIELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LD, CLC
Contact information
Practice address
1500 COOPER ST, FORT WORTH, TX 76104-2710
(682) 885-1990
(682) 885-1985
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-1860
(682) 885-7337
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
DT83494
TX
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
DT83494
TX
Other
Enumeration date
01/26/2015
Last updated
07/21/2022
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