Individual
JOHNSON O UWAGBOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
999 HIDDEN LAKE DR APT 3F, NORTH BRUNSWICK, NJ 08902-1180
(786) 512-8256
Mailing address
999 HIDDEN LAKE DR APT 3F, NORTH BRUNSWICK, NJ 08902-1180
(786) 512-8256
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
10/16/2024
Last updated
10/16/2024
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