| NPI | 1760528293 |
|---|---|
| Other Name | MKJRD, INC |
| Entity Type | Organization |
| Authorized Contact | MAUREEN K JOHNSON President Consultant 307-745-4026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |