Individual
MRS. ANNETTE LEWIS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 FAYETTEVILLE ST, DURHAM, NC 27707-2325
(919) 956-4046
Mailing address
737 WILLOW BAY DR, FUQUAY VARINA, NC 27526-4917
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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