Most Relevant Information
Provider Data
| NPI Number: | 1003540378 |
| Provider Name: | LESLIE ARLENE JOHNSON |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 09820 |
Most Important Dates
| Enumeration Date: | 07/13/2022 |
| Last Updated: | 07/13/2022 |
Provider Practice Location
1221 HAYES AVE
SANDUSKY
OH
448703345
Practice Location Phone/Fax
| Phone: | 4195576990 |
| Fax: |
Provider Mailing Location
1111 HAYES AVE
SANDUSKY
OH
448703323
Provider Mailing Phone/Fax
| Phone: | 4195576363 |
| Fax: |