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Dwayne Johnson

NPI 1407503378 · on the registry since 2022 · sole proprietor

Practice

Address
Jfk Senior Center
429 Jfk Way
Willingboro, NJ 08046
Phone
(609) 850-0055

Registry record

Primary taxonomy
171400000X
171400000X
Sex
Male
Record last updated
2022-03-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey