MRS. Gwen Gloria Johnson, RD, LD

NPI #1245823434 in Pepperell, Massachusetts

Provider Information

NPI Number: 1245823434
Entity Type: Individual
Name: MRS. Gwen Gloria Johnson, RD, LD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Credential: RD, LD
Enumeration Date: Feb 18, 2021
Last Updated: Feb 18, 2021

Practice Location

Address: 25 ASHLEY ST
City: Pepperell
State: Massachusetts
ZIP Code: 01463-4206
Phone: (978) 257-3962

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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