| Holistic Body Wellness, PC | |
|
Mobile Clinic Paramus NJ 07652-2109 | |
| (201) 725-9201 | |
| Not Available |
| Full Name | Holistic Body Wellness, PC |
|---|---|
| Speciality | Clinic/center |
| Location | Mobile Clinic, Paramus, New Jersey |
| Authorized Official Name and Position | Ulyses Favian Estrada (OWNER/ PRIMARY PROVIDER) |
| Authorized Official Contact | 2018732955 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Body Wellness, PC 57 Demarest Rd Paramus NJ 07652-2109 Ph: (201) 725-9201 | Holistic Body Wellness, PC Mobile Clinic Paramus NJ 07652-2109 Ph: (201) 725-9201 |
| NPI Number | 1851029276 |
|---|---|
| Provider Enumeration Date | 08/12/2022 |
| Last Update Date | 08/12/2022 |
| Certification Date | 07/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851029276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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