Organization
PURE HYDRATION FLOW AND ENHANCEMENTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATINA CARTER GEIGER (MANAGER)
(484) 661-2257
Entity
Organization
Contact information
Practice address
160 LONG LN STE 3, UPPER DARBY, PA 19082-3439
(484) 661-2257
(610) 734-0272
Mailing address
PO BOX 60, UPPER DARBY, PA 19082-0060
(484) 661-2257
(610) 734-0272
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
—
—
Other
Enumeration date
02/10/2022
Last updated
02/10/2022
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