Individual
PIPPA ALENE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
4500 W 7TH ST, LITTLE ROCK, AR 72205
(501) 257-5815
(501) 257-5813
Mailing address
10219 RAYMOND DR, LITTLE ROCK, AR 72205-2146
(501) 954-8614
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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