Organization
UTICA NUTRITION SERVICES CERTIFIED DIETITIAN NUTRITIONIST
Active
Other names
Utica Nutrition Services
Organization subpart
No
Provider details
NPI number
Authorized official
CLEANNE LYNN JOHNSON CDN (CERTIFIED DIETITIAN NUTRITIONIST)
(315) 922-3192
Entity
Organization
Contact information
Practice address
2709 GENESEE ST STE 213, UTICA, NY 13501-6222
(315) 922-3192
Mailing address
PO BOX 377, NEW HARTFORD, NY 13413-0377
(315) 922-3192
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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