Organization
EDEN HOLISTIC MEDICINE AND WELLNESS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLEY E JACKSON D.O. (PRESIDENT)
(610) 833-8739
Entity
Organization
Contact information
Practice address
412 E KING ST, MALVERN, PA 19355-3004
(610) 833-8739
(610) 647-8921
Mailing address
412 E KING ST, MALVERN, PA 19355-3004
(610) 833-8739
(610) 647-8921
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
OS014960
PA
Other
Enumeration date
05/05/2010
Last updated
05/05/2010
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