Organization
WESTERN WELLNESS & AESTHETICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNNIE REBBECCA HARRIS PHD, MSN/MHA, RN (OWNER, AESTHETIC NURSE)
(903) 401-9123
Entity
Organization
Contact information
Practice address
4510 STONEWALL ST, GREENVILLE, TX 75401-5952
(903) 401-9123
Mailing address
2709 COUNTY ROAD 16500, DEPORT, TX 75435-5217
(903) 401-9123
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
—
—
Other
Enumeration date
06/26/2025
Last updated
06/26/2025
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