Individual
MARISSA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4050 SKYRON DR STE D1, DOYLESTOWN, PA 18902-1143
(215) 348-5977
Mailing address
58 SEEDLING DR, HOLLAND, PA 18966-2841
(215) 595-7427
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86371812
PA
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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