| Pomegranate Wellness Health Aesthetics | |
|
203 Girard Rd N Glassboro NJ 08028-2117 | |
| (973) 731-6253 | |
| Not Available |
| Full Name | Pomegranate Wellness Health Aesthetics |
|---|---|
| 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 |
|---|---|
| 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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