Ground Luminosity Eastern Wellness Center
NPI #1063956183 in North Wales, Pennsylvania
Provider Information
- NPI Number
- 1063956183
- Entity Type
- Organization
- Organization Name
- Ground Luminosity Eastern Wellness Center
- Primary Specialty
- Specialist
- Enumeration Date
- Dec 8, 2016
- Last Updated
- Dec 8, 2016
Practice Location
- Address
- 1501 LOWER STATE RD
- Address 2
- BLDG D SUITE 306
- City
- North Wales
- State
- Pennsylvania
- ZIP Code
- 19454-1216
- Phone
- (215) 301-3607
Authorized Official
- Name
- MRS. CURRAN LATCHFORD
- Title
- OWNER
- Phone
- (215) 301-3607
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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