Individual
JENNIFER JOHANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD, CNSC
Contact information
Practice address
5200 HARRY HINES BLVD, DALLAS, TX 75235-7709
(469) 419-0703
Mailing address
311 RIVER BIRCH RD, EULESS, TX 76039-1497
(682) 553-3588
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT07416
TX
Other
Enumeration date
07/29/2021
Last updated
07/29/2021
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