Organization
HOLISTICS LIFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL A CISNEROS (MANAGER)
(201) 496-2754
Entity
Organization
Contact information
Practice address
417 7TH ST, FAIRVIEW, NJ 07022-1121
(201) 496-2754
Mailing address
417 7TH ST, FAIRVIEW, NJ 07022-1121
(201) 496-2754
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/31/2022
Last updated
01/31/2022
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