Individual
OLIVIA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
14 HOLLY ST, HINGHAM, MA 02043-1712
(781) 264-6877
Mailing address
14445 35TH AVE APT 4M, FLUSHING, NY 11354-3640
(860) 790-7523
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/02/2023
Last updated
05/04/2025
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