Amber Lyn Johnson, RD Valid NPI

Individual provider · Pediatric Nutrition Registered Dietitian · Charleston, SC

NPI

1306201967

Type

Individual (Type 1)

Primary specialty

Pediatric Nutrition Registered Dietitian (Dietitian, Registered)

Specialty group

Dietary & Nutritional Service Providers

Taxonomy code

133VN1004X

License number

1352 (SC)

Sex

Female

Sole proprietor

No

Enumerated

2015-12-28

Last updated

2015-12-28