Organization
WELLNESS BY THE SEA MED SPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CROCKETT-BRASURE APRN-CNP (SOLE MBR)
(302) 278-0093
Entity
Organization
Contact information
Practice address
35998 ZION CHURCH RD UNIT 1, FRANKFORD, DE 19945-4501
(302) 278-0093
Mailing address
35998 ZION CHURCH RD UNIT 1, FRANKFORD, DE 19945-4501
(302) 278-0093
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/30/2022
Last updated
12/30/2022
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