Organization
PRIMA ELEMENTS, LLC
Active
Other names
prima elements holistic wellness center
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIAN RAMON BURGOS (CO-OWNER/MANAGER)
(910) 483-8406
Entity
Organization
Contact information
Practice address
124 ANDERSON ST, FAYETTEVILLE, NC 28301-5014
(910) 483-8406
Mailing address
124 ANDERSON ST, FAYETTEVILLE, NC 28301-5014
(910) 483-8406
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
07/04/2019
Last updated
07/04/2019
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