| NPI | 1184894701 |
|---|---|
| Doing Business As | VITAL LIFE WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | BERNICE GONZALEZ President 210-595-1019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: TX J6466) |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2013-05-08 |