Organization
IDEAL WELLNESS FAMILY PRACTICE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA AMANDA ORNER MD (PRESIDENT)
(609) 731-3478
Entity
Organization
Contact information
Practice address
701 LEON AVE, PALMYRA, PA 17078-3554
(717) 256-1820
Mailing address
511 BYLER CIR, LEBANON, PA 17042-4866
(609) 731-3478
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/08/2019
Last updated
08/05/2019
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