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Individual

BETH ANN JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, RD, LDN

Contact information

Practice address
364 GRANITE AVE, MILTON, MA 02186-5025
(617) 698-0260
Mailing address
364 GRANITE AVE, MILTON, MA 02186-5025

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2390
MA

Other

Enumeration date
01/05/2008
Last updated
01/07/2008
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