Organization
LOVE & LIFE WELLNESS, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALETTRA ENOCH (CRNP)
(215) 397-7104
Entity
Organization
Contact information
Practice address
3900 FORD RD PH D, PHILADELPHIA, PA 19131-2045
(215) 397-7104
Mailing address
3900 FORD RD PH D, PHILADELPHIA, PA 19131-2045
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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