Individual
MARY JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD LD
Contact information
Practice address
1160 W BROAD ST, LOWER LIGHTS CHRISTIAN HEALTH CENTER, COLUMBUS, OH 43222-1317
(614) 274-1455
(614) 274-2040
Mailing address
1160 W BROAD ST, LOWER LIGHTS CHRISTIAN HEALTH CENTER, COLUMBUS, OH 43222-1317
(614) 274-1455
(614) 274-2040
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD2555
OH
Other
Enumeration date
04/02/2007
Last updated
08/07/2014
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