Individual
DWAYNE E JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
JFK SENIOR CENTER, 429 JFK WAY, WILLINGBORO, NJ 08046
(609) 850-0055
Mailing address
1 CHALFORD LN, WILLINGBORO, NJ 08046-3401
(609) 850-0055
(866) 534-9942
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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