Pomegranate Wellness Health Aesthetics | |
203 Girard Rd N Glassboro NJ 08028-2117 | |
(973) 731-6253 | |
Not Available |
Full Name | Pomegranate Wellness Health Aesthetics |
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Speciality | Clinic/center - Primary Care |
Location | 203 Girard Rd N, Glassboro, New Jersey |
Authorized Official Name and Position | Pansy Harris-lane (OWNER) |
Authorized Official Contact | 9737316253 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pomegranate Wellness Health Aesthetics 203 Girard Rd N Glassboro NJ 08028-2117 Ph: (973) 731-6253 | Pomegranate Wellness Health Aesthetics 203 Girard Rd N Glassboro NJ 08028-2117 Ph: (973) 731-6253 |
NPI Number | 1912462029 |
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Provider Enumeration Date | 02/02/2019 |
Last Update Date | 02/02/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912462029 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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