CD EAST FAMILY HEALTH & WELLNESS CENTER LLC NPI 1710213236

NPI Information

CD EAST FAMILY HEALTH & WELLNESS CENTER LLC is a primary care clinic center in Harrisburg, PA. CD EAST FAMILY HEALTH & WELLNESS CENTER LLC NPI is 1710213236. The provider is registered as an organization entity type.
The provider Is Doing Business As Cd East Family Health & Wellness Center.

The provider's business location address is:

845 SIR THOMAS CT
SUITE 5
HARRISBURG, PA
ZIP 17109-840
Phone: (717) 695-3704
Fax: (717) 695-7735

The provider's authorized official is Angelique Mckinney-bourne .
The authorized official title is Physician/owner and has the following contact phone number (717) 695-3704.

The enumeration date for this NPI number is 10/19/2009 and was last updated on 5/26/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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