Individual
NAOMI JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1298 N 3700 E, ASHTON, ID 83420-5234
(406) 640-0885
(406) 640-0885
Mailing address
1298 N 3700 E, ASHTON, ID 83420-5234
(406) 640-0885
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/09/2025
Last updated
05/09/2025
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