Tara Beth Johnson, MS, RD, LD

NPI #1669741526 in Ft Sill, Oklahoma

Provider Information

NPI Number
1669741526
Entity Type
Individual
Name
Tara Beth Johnson, MS, RD, LD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dietitian, Registered
Credential
MS, RD, LD
Enumeration Date
Dec 22, 2011
Last Updated
Jul 2, 2018

Practice Location

Address
4301 WILSON STREET
Address 2
REYNOLDS ARMY COMMUNITY HOSPITAL
ZIP Code
75303
Phone
(580) 558-2825

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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