Dwayne E Johnson
Dwayne E Johnson is a Health & Wellness Coach in Willingboro, New Jersey. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Partly verified
Jfk Senior Center 429 Jfk WayWillingboro, NJ 08046
Phone: (609) 850-0055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Health & Wellness Coach (primary) | Taxonomy 171400000X |
|---|
Record details
| NPI number | 1407503378 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 9, 2022 |
| Last updated in NPPES | March 9, 2022 |
| Certification date | February 23, 2022 |
| Mailing address | 1 Chalford Ln, Willingboro, NJ 08046-3401 |
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