Organization
GROUND LUMINOSITY EASTERN WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CURRAN LATCHFORD (OWNER)
(215) 301-3607
Entity
Organization
Contact information
Practice address
1501 LOWER STATE RD, BLDG D SUITE 306, NORTH WALES, PA 19454-1216
(215) 301-3607
Mailing address
1501 LOWER STATE RD, BLDG D SUITE 306, NORTH WALES, PA 19454-1216
(215) 301-3607
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MSG006874
PA
Other
Enumeration date
12/08/2016
Last updated
12/08/2016
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