STEPHANY JOHNSON

PEORIA, IL
NPI1366953911
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: IL  164.007222)
Enumeration Date2017-10-22
Last Update Date2017-10-22
Business Address
STEPHANY JOHNSON RD
8603 N UNIVERSITY ST
PEORIA, IL 61615-1631
Phone number: 309-226-6080
Mailing Address
STEPHANY JOHNSON RD
1223 E HALLOCK HOLLOW RD
CHILLICOTHE, IL 61523-9545
Phone number: 309-360-0659