KEILEY SHAE JOHNSON

FARGO, ND
NPI1013781814
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133VN1101X Dietitian, Registered, Nutrition, Gerontological
(Licence: ND  1245)
Additional Taxonomies133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics
(Licence: ND  1245)
Enumeration Date2023-11-13
Last Update Date2023-11-13
Business Address
KEILEY SHAE JOHNSON RD
2970 BRANDT DR S APT 214
FARGO, ND 58104-9078
Phone number: 701-212-6207
Mailing Address
KEILEY SHAE JOHNSON RD
2970 BRANDT DR S APT 214
FARGO, ND 58104-9078
Phone number: 701-212-6207