| NPI | 1144033457 |
|---|---|
| Doing Business As | HALO VITALITY CLINIC |
| Entity Type | Organization |
| Authorized Contact | ALYSHA BARKER Owner, Provider 719-824-4949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2025-01-30 |
| Last Update Date | 2025-01-30 |