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Individual

CATHY JAYE JOHNAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
137 PENSTOCK LN, LAKE KATRINE, NY 12449-5241
(914) 388-3624
Mailing address
137 PENSTOCK LN, LAKE KATRINE, NY 12449-5241
(914) 388-3624

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
NY

Other

Enumeration date
08/05/2025
Last updated
08/05/2025
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