JACQLENE JACOB JOHNSON

FAR ROCKAWAY, NY
NPI1801476296
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  046821)
Enumeration Date2021-04-10
Last Update Date2021-04-10
Business Address
JACQLENE JACOB JOHNSON
224 BEACH 20TH ST
FAR ROCKAWAY, NY 11691-3618
Phone number: 347-926-4037
Mailing Address
JACQLENE JACOB JOHNSON
346 SIP AVE
JERSEY CITY, NJ 07306-6569
Phone number: 443-447-3230
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