Individual
MARISSA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN
Contact information
Practice address
65 CORNELL ST, ROSLINDALE, MA 02131-4525
(781) 204-0003
Mailing address
65 CORNELL ST, ROSLINDALE, MA 02131-4525
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
074.0134534
VT
133V00000X
Registered Dietitian
Primary
1337
NH
133V00000X
Registered Dietitian
5664
MA
133V00000X
Registered Dietitian
DI1931
ME
Other
Enumeration date
07/14/2022
Last updated
08/12/2025
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