| NPI | 1225855562 |
|---|---|
| Doing Business As | LIVE IN VITALITY WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | TRACY CHERY Dnp, Ap RN C 813-419-7911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2024-09-26 |
| Last Update Date | 2024-09-26 |