Organization
H&H BSQ LLC
Active
Other names
Renewed Vitality
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA MCCLURE NP-C (AUTHORIZED OFFICIAL)
(484) 516-2937
Entity
Organization
Contact information
Practice address
560 VAN REED RD STE 101, WYOMISSING, PA 19610-1799
(484) 516-2937
(484) 930-0229
Mailing address
560 VAN REED RD STE 101, WYOMISSING, PA 19610-1799
(484) 516-2937
(484) 930-0229
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
Other
Enumeration date
06/18/2020
Last updated
07/27/2023
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