Individual
MRS. NICOLA M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 ASHFORD ST, BROOKLYN, NY 11207-3204
(718) 235-3478
Mailing address
300 ASHFORD ST, BROOKLYN, NY 11207-3204
(718) 235-3478
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
—
—
133N00000X
Nutritionist
Primary
—
NY
Other
Enumeration date
08/17/2015
Last updated
08/17/2015
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