Organization
PURE ONE WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER CARROLL (OFFICE REP)
(352) 942-1204
Entity
Organization
Contact information
Practice address
107 S FARVIEW AVE, STE. #C, PARAMUS, NJ 07652-2501
(201) 994-9782
Mailing address
107 S FARVIEW AVE, STE. #C, PARAMUS, NJ 07652-2501
(201) 994-9782
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
171100000X
Acupuncturist
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
08/05/2016
Last updated
08/05/2016
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