Glenys S Johnson, RD, LD Valid NPI
Individual provider · Pediatric Nutrition Registered Dietitian · Dallas, TX
- NPI
- 1700972460
- Type
- Individual (Type 1)
- Primary specialty
- Pediatric Nutrition Registered Dietitian (Dietitian, Registered)
- Specialty group
- Dietary & Nutritional Service Providers
- Taxonomy code
- 133VN1004X
- License number
- DT05235 (TX)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2006-10-04
- Last updated
- 2007-07-09
Practice location
1935 Motor Street, Clinical Nutrition
Dallas, TX 75235
(214) 456-2182