Individual
LINNETTE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
226 N POTOMAC ST, HAGERSTOWN, MD 21740-3813
(240) 406-4857
(240) 202-2476
Mailing address
19813 LEITERSBURG PIKE # 193, HAGERSTOWN, MD 21742-1445
(240) 406-4857
(240) 202-2476
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
171400000X
Health & Wellness Coach
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTHER
OTHER
—
Enumeration date
01/23/2021
Last updated
08/31/2021
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