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Organization
BRIGHT SIDE WELLNESS LLC
Active
Organization
BRIGHT SIDE WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATIA PIERCE NP (OWNER)
(856) 899-7772
Entity
Organization
Contact information
Practice address
1279 TAMMIE TER, VINELAND, NJ 08360-5521
(856) 899-7772
(856) 249-9573
Mailing address
1279 TAMMIE TER, VINELAND, NJ 08360-5521
(856) 899-7772
(856) 249-9573
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/05/2022
Last updated
11/20/2024
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