| NPI | 1144065491 |
|---|---|
| Doing Business As | VITALITY SLIM CLINIC LLC |
| Entity Type | Organization |
| Authorized Contact | FRED AUZENNE Manager 480-544-4467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2024-06-27 |
| Last Update Date | 2024-06-27 |