NICHOLE RENE' JOHNSON

SHAWNEE, OK
NPI1639266414
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: OK  LD 873)
Enumeration Date2006-10-05
Last Update Date2007-07-09
Business Address
Mrs. NICHOLE RENE' JOHNSON RD/LD
2 E. MAIN STREET
SHAWNEE, OK 74801
Phone number: 405-826-6441
Mailing Address
Mrs. NICHOLE RENE' JOHNSON RD/LD
2 E. MAIN STREET
SHAWNEE, OK 74801
Phone number: 405-826-6441