# NEWGEN AESTHETICS & WELLNESS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NEWGEN HOME HEALTH AGENCY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417623380
- **Authorized official:** LUAN NGUYEN MD (CEO)
- **Authorized official phone:** (671) 735-8000

## Contact information

- **Practice address:** 643 CHALAN SAN ANTONIO STE 108, TAMUNING, GU 96913-3644
- **Practice address phone:** (671) 735-8000
- **Practice address fax:** (671) 735-8003
- **Mailing address:** PO BOX 217954, BARRIGADA, GU 96921-6957

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | — | NULL | — |
| 163WH0200X | Home Health Registered Nurse | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/19/2021
- **Last updated:** 08/19/2021