MISS Jordan Anne Johnson, MS, RD, CD

NPI #1972855062 in Spokane Valley, Washington

Provider Information

NPI Number
1972855062
Entity Type
Individual
Name
MISS Jordan Anne Johnson, MS, RD, CD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dietitian, Registered
Credential
MS, RD, CD
Enumeration Date
Oct 12, 2012
Last Updated
Oct 12, 2012

Practice Location

Address
11703 E SPRAGUE AVE
Address 2
STE C-3
ZIP Code
99206-6128
Phone
(509) 921-6560

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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