MR. Jeremiah Edwin Johnson, R.D. MPH

NPI #1558386979 in Cannon Afb, New Mexico

Provider Information

NPI Number: 1558386979
Entity Type: Individual
Name: MR. Jeremiah Edwin Johnson, R.D. MPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: R.D. MPH
Enumeration Date: Jul 13, 2006
Last Updated: Jan 23, 2013

Practice Location

Address: 208 W CASABLANCA AVE
Address 2: 27 SOMDG/SGPM
City: Cannon Afb
State: New Mexico
ZIP Code: 88103-5009
Phone: (575) 784-2843

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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