| Newgen Aesthetics & Wellness, Llc | |
|
263 Vietnam Veterans Memorial Hwy, Mangilao, GU 96913 | |
| (671) 486-5826 | |
| Not Available |
| Full Name | Newgen Aesthetics & Wellness, Llc |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Physical Therapy |
| Location | 263 Vietnam Veterans Memorial Hwy, Mangilao, Guam |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467908673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
| Provider Name | Lady Artillero |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366072514 PECOS PAC ID: 5991135568 Enrollment ID: I20200422001359 |
| Provider Name | Leonard P Campos |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407127871 PECOS PAC ID: 0244488831 Enrollment ID: I20200617003153 |
| Provider Name | Sophia Brett Hansen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134717663 PECOS PAC ID: 0749689800 Enrollment ID: I20211222002408 |
| Provider Name | Andrew Farrell Wiseman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184140097 PECOS PAC ID: 7113292285 Enrollment ID: I20220830000830 |
| Mailing Address | Practice Location Address |
|---|---|
| Newgen Aesthetics & Wellness, Llc Po Box 217954, Barrigada, GU 96921-6957 Ph: (671) 735-8000 | Newgen Aesthetics & Wellness, Llc 263 Vietnam Veterans Memorial Hwy, Mangilao, GU 96913 Ph: (671) 486-5826 |