NPI | 1114541190 |
---|---|
Doing Business As | SANO VITA CLINICAL SERVICES |
Entity Type | Organization |
Authorized Contact | LORI JEAN KEARNEY Owner 970-375-7711 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2020-06-04 |
Last Update Date | 2020-06-04 |