Individual
JANICE JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
805 STEVENS AVE, PORTLAND, ME 04103-2647
(207) 415-6652
Mailing address
28 MARTIN AVE, SCARBOROUGH, ME 04074-9728
(207) 415-6652
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI974
ME
Other
Enumeration date
04/11/2016
Last updated
04/11/2016
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