Individual
DWAYNE J PIERCE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
505 W BLACK HORSE PIKE, PLEASANTVILLE, NJ 08232-2663
(609) 641-9356
Mailing address
1610 ACORN DR, MILLVILLE, NJ 08332-4702
(856) 575-2668
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP06489100
NJ
Other
Enumeration date
07/29/2021
Last updated
07/29/2021
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