Doctor Name: | MRS. GRACE ELIZABETH JOHNSON |
NPI Number: | 1134300213 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D. |
License Number: | 894433 |
Business Practice Address: | 960 E Green St Suite 292 Pasadena, CA - 911062401 |
Business Phone Number: | 6264494494 |
Business Fax Number: | 6264494474 |
Mailing Address: | 2261 Eastridge Trl, OXNARD |
State: | CA |
Postal Code: | 930367720 |
Phone Number: | 8059818110 |
Fax Number: | 8059818110 |
NPI Enumeration Date: | 11/17/2007 |
NPI Last Update Date: | 11/17/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 894433 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |