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Individual

MARSHA A JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CDN

Contact information

Practice address
3071 COUNTY COMPLEX DR, CANANDAIGUA, NY 14424-9505
(585) 394-4620
(585) 394-1987
Mailing address
1389 BRICK CHURCH RD, ONTARIO, NY 14519-9739
(315) 524-6225

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0032061
NY

Other

Enumeration date
03/22/2007
Last updated
07/08/2007
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