Individual
DONTRAEY OLIVER-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1152 N UNIVERSITY DR, PEMBROKE PINES, FL 33024-5000
(954) 639-7345
Mailing address
140 SW 117TH AVE APT 106, PEMBROKE PINES, FL 33025-3489
(305) 942-8954
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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