| NPI | 1073288718 |
|---|---|
| Doing Business As | VIDA AVANTI REGENERATIVE MEDICINE |
| Entity Type | Organization |
| Authorized Contact | ALISON MALIZZI CEO 424-390-7606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2021-08-13 |
| Last Update Date | 2024-10-01 |