MEDICARE: KJM WELLNESS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133N00000X	Nutritionist

General Provider Information

NPI Number	:	1942140371
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KJM WELLNESS LLC

Provider Business Mailing Address
First Line	:	33 W FRANKLIN ST STE 2
Second Line	:
City	:	HAGERSTOWN
State	:	MD
Zip	:	21740-4826
Country	:	US
Telephone Number	:	240-513-7607
Fax Number	:

Provider Business Practice Location Address
First Line	:	33 W FRANKLIN ST STE 2
Second Line	:
City	:	HAGERSTOWN
State	:	MD
Zip	:	21740-4826
Country	:	US
Telephone Number	:	240-513-7607
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SONIA JUAREZ
Credential	:	CNS, LDN
Telephone Number	:	240-513-7607

Provider Enumeration Date	:	03/28/2026
Last Update Date	:	04/04/2026

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Directions to “KJM WELLNESS LLC ” Practice Location

Language	Start Address	Practice Location

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