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Individual

CASSIE RENEA JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDN, CPT

Contact information

Practice address
712 BONNIE CIR, MELBOURNE, FL 32901-4124
(304) 993-4800
Mailing address
712 BONNIE CIR, MELBOURNE, FL 32901-4124
(304) 993-4800

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1922
WV
133V00000X
Registered Dietitian
Primary
ND12305
FL

Other

Enumeration date
09/26/2025
Last updated
09/26/2025
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