| NPI | 1780090761 |
|---|---|
| Other Name | DAN R JOHNSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CA 1053031) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: MD DX3643) |
| 133N00000X Nutritionist (Licence: CA 1053031) | |
| 133V00000X Dietitian, Registered (Licence: MD DX3643) | |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2015-08-25 |