Organization
GIOCONDA AESTHETICS INC
Active
Other names
Serenity Advanced Therapeutics
Organization subpart
No
Provider details
NPI number
Authorized official
LANA BUKLEY NP (PRESIDENT)
(908) 670-3322
Entity
Organization
Contact information
Practice address
1350 15TH ST APT 15M, FORT LEE, NJ 07024-2030
(908) 670-3322
Mailing address
1350 15TH ST APT 15M, FORT LEE, NJ 07024-2030
(908) 670-3322
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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