MISS Johanna Nicole Dibble, RD
NPI #1215417704 in Lynnwood, Washington
Provider Information
- NPI Number
- 1215417704
- Entity Type
- Individual
- Name
- MISS Johanna Nicole Dibble, RD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dietitian, Registered
- Credential
- RD
- Enumeration Date
- Aug 15, 2018
- Last Updated
- Aug 15, 2018
Practice Location
- Address
- 4030 ALDERWOOD MALL BLVD
- City
- Lynnwood
- State
- Washington
- ZIP Code
- 98036-6763
- Phone
- (425) 776-0803
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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