Individual
KIMBERLY JOYCE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
595 PACIFIC AVE, SAN FRANCISCO, CA 94133-4681
(415) 800-2311
Mailing address
109 W 39TH ST APT 113, AUSTIN, TX 78751-5022
(214) 463-6535
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT88222
TX
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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