Individual
MISS JORDAN ANNE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CD
Contact information
Practice address
11703 E SPRAGUE AVE, STE C-3, SPOKANE VALLEY, WA 99206-6128
(509) 921-6560
(509) 921-6551
Mailing address
11703 E SPRAGUE AVE, STE C-3, SPOKANE VALLEY, WA 99206-6128
(509) 921-6560
(509) 921-6551
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI60309102
WA
Other
Enumeration date
10/12/2012
Last updated
10/12/2012
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