Individual
MARIAH JANE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
14995 COUNTRY RD, ROGERS, MN 55374-8747
(320) 260-1247
Mailing address
14995 COUNTRY RD, ROGERS, MN 55374-8747
(320) 260-1247
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2587
MN
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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