Organization
LIV AGAIN WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE GRAVES (OWNER)
(856) 340-1396
Entity
Organization
Contact information
Practice address
5 LASALLE ST, VINELAND, NJ 08360-4223
(856) 340-1396
Mailing address
5 LASALLE ST, VINELAND, NJ 08360-4223
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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