Organization
EMPRESSIV GLOW HYDRATION AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE RASHEL KENNERLY (OWNER)
(813) 578-7438
Entity
Organization
Contact information
Practice address
27251 WESLEY CHAPEL BLVD, SUITE 1155, WESLEY CHAPEL, FL 33544-4285
(813) 578-7438
(813) 537-8858
Mailing address
27251 WESLEY CHAPEL BLVD, WESLEY CHAPEL, FL 33544-4285
(813) 578-7438
(813) 537-8858
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/09/2023
Last updated
02/25/2025
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