Most Relevant Information
Provider Data
| NPI Number: | 1003226416 |
| Provider Name: | SARAH E JOHNSON RD LD |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | -3355- |
Most Important Dates
| Enumeration Date: | 05/07/2014 |
| Last Updated: | 11/24/2023 |
Provider Practice Location
715 S 8TH ST
MINNEAPOLIS
MN
554041210
Practice Location Phone/Fax
| Phone: | 6128736963 |
| Fax: |
Provider Mailing Location
701 PARK AVE # SL350
MINNEAPOLIS
MN
554151623
Provider Mailing Phone/Fax
| Phone: | 6128739696 |
| Fax: | 6126308270 |